马尾综合征与鞍区栓塞

Cauda equina syndrome versus saddle embolism.

作者信息

Shaw A, Anwar H, Targett J, Lafferty K

机构信息

Department of Orthopaedics and Vascular Surgery, Basildon Hospital, Basildon, Essex, UK.

出版信息

Ann R Coll Surg Engl. 2008 Sep;90(6):W6-8. doi: 10.1308/147870808X303083.

DOI:10.1308/147870808X303083

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2647266/

Abstract

We discuss a case of saddle embolism with a clinical presentation similar to cauda equina syndrome in a 79-year-old woman with a history of ischaemic heart disease. Saddle embolus is very rare but one of an array of visceral causes for back and leg pain. This case highlights diagnostic difficulties, particularly in patients with multiple disorders. A high index of suspicion for vascular conditions must be exercised in cases of arterial dysfunction presenting with back pain.

摘要

我们讨论了一例79岁患有缺血性心脏病史的女性患者，其临床表现类似于马尾综合征的鞍区栓塞病例。鞍区栓子非常罕见，但却是引起背部和腿部疼痛的一系列内脏病因之一。该病例凸显了诊断困难，尤其是在患有多种疾病的患者中。对于出现背痛的动脉功能障碍病例，必须高度怀疑血管疾病。

相似文献

1

Cauda equina syndrome versus saddle embolism.

Ann R Coll Surg Engl. 2008 Sep;90(6):W6-8. doi: 10.1308/147870808X303083.

2

The cauda equina syndrome in pregnant woman with a massive disc herniation.

Rev Esp Cir Ortop Traumatol. 2017 Jan-Feb;61(1):63-65. doi: 10.1016/j.recot.2015.05.004. Epub 2015 Jun 3.

3

Aortic dissection presenting as an acute cauda equina syndrome : a case report.

J Bone Joint Surg Am. 2002 Aug;84(8):1430-2. doi: 10.2106/00004623-200208000-00019.

4

Orthopedic pitfalls: cauda equina syndrome.

Am J Emerg Med. 2005 Mar;23(2):159-63. doi: 10.1016/j.ajem.2004.03.006.

5

Low back pain in a child associated with acute onset cauda equina syndrome: a rare presentation of an aggressive vertebral hemangioma: a case report.

J Pediatr Orthop. 2012 Apr-May;32(3):271-6. doi: 10.1097/BPO.0b013e318247195a.

6

Cauda equina syndrome in a pregnant woman referred to physical therapy for low back pain.

J Orthop Sports Phys Ther. 2008 Nov;38(11):721. doi: 10.2519/jospt.2008.0411.

7

Epidural abscess causing cauda equina syndrome.

Ir J Med Sci. 2005 Jul-Sep;174(3):88-91. doi: 10.1007/BF03169156.

8

Cauda equina syndrome.

J Am Acad Orthop Surg. 2008 Aug;16(8):471-9. doi: 10.5435/00124635-200808000-00006.

9

Thoracic spinal cord compression masquerading as cauda equina syndrome.

Am J Emerg Med. 2016 Apr;34(4):756.e3-5. doi: 10.1016/j.ajem.2015.07.069. Epub 2015 Jul 30.

10

Acute Aortic Thrombus Presenting as Cauda Equina Syndrome.

J Emerg Med. 2020 May;58(5):802-806. doi: 10.1016/j.jemermed.2020.03.011. Epub 2020 Apr 10.

引用本文的文献

1

Acute Paraplegia as a Presentation of Aortic Saddle Embolism.

Case Rep Emerg Med. 2016;2016:1250153. doi: 10.1155/2016/1250153. Epub 2016 Oct 16.

本文引用的文献

1

Saddle embolism of the aorta with sudden paraplegia.

Can J Surg. 2004 Dec;47(6):472-3.

2

Electron beam tomography of interpulmonary saddle embolism: extent and vascular distribution.

J Comput Assist Tomogr. 2002 Jan-Feb;26(1):26-32. doi: 10.1097/00004728-200201000-00005.

3

Pulmonary arteries and lung parenchyma in chronic pulmonary embolism: preoperative and postoperative CT findings.

Radiology. 1994 May;191(2):351-7. doi: 10.1148/radiology.191.2.8153305.

4

Aortic saddle embolus. A twenty-year experience.

Ann Surg. 1983 Jun;197(6):698-706. doi: 10.1097/00000658-198306000-00008.

5

Immediate heparinisation and surgery in the management of saddle embolism.

Eur J Vasc Surg. 1990 Apr;4(2):191-4. doi: 10.1016/s0950-821x(05)80436-0.

文献AI研究员

20分钟写一篇综述，助力文献阅读效率提升50倍。

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

文档翻译

学术文献翻译模型，支持多种主流文档格式。