一个诊断难题：一名79岁女性患有Chiari 1畸形并伴有多节段脊髓受压，出现了颈髓病。
A diagnostic dilemma: cervical myelopathy in the presence of chiari 1 malformation and multi-level cord compression in a 79-year-old woman.
作者信息
Bullock Marc, Kanatas Anastasios, Pal Debashish, Towns Gerry
机构信息
Department of Neurosurgery, Leeds General Infirmary, Leeds, UK.
出版信息
Br J Neurosurg. 2007 Apr;21(2):231-4. doi: 10.1080/02688690701317136.
PMID:17453795
Abstract
Chiari 1 malformation (CM1) is an unusual finding in the elderly population. Presenting features can overlap with other conditions including cervical spondylotic myelopathy (CSM); a more prevalent pathology in this age group. We present a rare case of CM1 in a 79-year-old woman with concomitant CSM who made an excellent recovery following a combined foremen magnum decompression and C5 skip laminectomy.
摘要
Chiari 1型畸形（CM1）在老年人群中是一种不常见的发现。其临床表现可能与包括脊髓型颈椎病（CSM）在内的其他病症重叠；而CSM在该年龄组中是一种更常见的病理情况。我们报告了一例79岁女性同时患有CM1和CSM的罕见病例，该患者在接受枕骨大孔减压术联合C5节段跳跃式椎板切除术之后恢复良好。
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