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颈椎间盘突出症所致脊髓前动脉综合征。磁共振诊断

[Anterior spinal artery syndrome caused by cervical disc protrusion. Diagnosis by magnetic resonance].

作者信息

Errea J M, Ara J R, Pina M A, Fayed N

机构信息

Servicio de Neurología, Hospital Miguel Servet, Zaragoza.

出版信息

Neurologia. 1991 Aug-Sep;6(7):256-8.

PMID:1768445
Abstract

The syndrome of the anterior spinal artery is a rare disease with a diagnosis based an its characteristic clinical features. Until the widespread use of the Magnetic Resonance (MR) the lesional confirmation required an anatomopathological study. We report a 49-years-old male with lacinating interscapular pain and sudden asymmetrical tetraparesia, in whom MR scan disclosed a plurisegmental anterior spinal lesion and a posterolateral disk protrusion at C6-C7 level. We discuss the etiological and pathogenetical relation between degenerative vertebral disk disease and spinal infarctions.

摘要

脊髓前动脉综合征是一种罕见疾病,其诊断基于特征性临床特征。在磁共振成像(MR)广泛应用之前,病变确诊需要进行解剖病理学研究。我们报告一名49岁男性,有撕裂样肩胛间疼痛和突发不对称性四肢轻瘫,其磁共振扫描显示多节段脊髓前部病变以及C6-C7水平的后外侧椎间盘突出。我们讨论了退行性椎间盘疾病与脊髓梗死之间的病因及发病机制关系。

相似文献

1
[Anterior spinal artery syndrome caused by cervical disc protrusion. Diagnosis by magnetic resonance].颈椎间盘突出症所致脊髓前动脉综合征。磁共振诊断
Neurologia. 1991 Aug-Sep;6(7):256-8.
2
[A case of spinal cord infarction caused by cervical disc herniation].[一例由颈椎间盘突出症引起的脊髓梗死病例]
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Anterior spinal cord syndrome after initiation of treatment with atenolol.阿替洛尔治疗开始后出现的脊髓前动脉综合征。
J Emerg Med. 2010 Jun;38(5):e49-52. doi: 10.1016/j.jemermed.2007.08.061. Epub 2008 Jul 2.
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Spinal cord infarction: MR imaging and clinical features in 16 cases.脊髓梗死:16例患者的磁共振成像及临床特征
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Clinical features of the localized girdle sensation of mid-trunk (false localizing sign) appeared in cervical compressive myelopathy patients.颈髓压迫症患者出现了躯干中部局限性束带感的临床特征(假定位体征)。
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[Unilateral posterior spinal artery syndrome of the upper cervical cord associated with vertebral artery occlusion].[与椎动脉闭塞相关的颈上段脊髓单侧后脊髓动脉综合征]
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[Two cases of pyogenic cervical discitis presenting tetraparesis].两例化脓性颈椎间盘炎伴四肢轻瘫
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Anterior spinal artery syndrome following periradicular cervical nerve root therapy.神经根周围型颈神经根治疗后出现的脊髓前动脉综合征
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Brown-Sèquard syndrome produced by C3-C4 cervical disc herniation: a case report and review of the literature.C3-C4颈椎间盘突出症所致的布朗-塞卡尔综合征:一例病例报告及文献综述
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引用本文的文献

1
Is the anterior spinal artery occluded in severe cervical compressive myelopathy?严重颈椎压迫性脊髓病中是否有脊髓前动脉阻塞?
J Spinal Cord Med. 2021 Sep;44(5):765-769. doi: 10.1080/10790268.2019.1693193. Epub 2019 Dec 2.
2
Anterior Spinal Artery Syndrome in a Patient with Cervical Spondylosis Demonstrated by CT Angiography.CT 血管造影显示颈椎病患者的前脊髓动脉综合征。
Orthop Surg. 2019 Dec;11(6):1220-1223. doi: 10.1111/os.12555. Epub 2019 Nov 3.
3
Cervical disc herniation as a trigger for temporary cervical cord ischemia.
颈椎间盘突出作为暂时性颈髓缺血的诱因。
J Spine Surg. 2016 Jun;2(2):135-8. doi: 10.21037/jss.2016.06.04.
4
Hemifacial hyperhidrosis associated with ipsilateral/contralateral cervical disc herniation myelopathy. Functional considerations on how compression pattern determines the laterality.与同侧/对侧颈椎间盘突出症脊髓病相关的半侧面部多汗症。关于压迫模式如何决定偏侧性的功能考量。
Funct Neurol. 2014 Jan-Mar;29(1):67-73.
5
Results of anterior discectomy without fusion for treatment of cervical radiculopathy and myelopathy.前路椎间盘切除术不融合治疗神经根型颈椎病和脊髓型颈椎病的结果。
Eur Spine J. 1994;3(2):62-5. doi: 10.1007/BF02221441.