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纤维软骨栓塞:急性缺血性脊髓病的一个病因。

Fibrocartilaginous embolism: a cause of acute ischemic myelopathy.

作者信息

Tan K, Hammond E R, Kerr D, Nath A

机构信息

Department of Neurology, National Neuroscience Institute, Singapore, Republic of Singapore.

出版信息

Spinal Cord. 2009 Aug;47(8):643-5. doi: 10.1038/sc.2008.135. Epub 2008 Nov 11.

Abstract

STUDY DESIGN

A case report of fibrocartilaginous embolism (FCE) presenting as acute myelopathy.

OBJECTIVES

To illustrate the clinical presentation and magnetic resonance imaging features of FCE.

SETTING

Johns Hopkins Transverse Myelitis Center.

CASE REPORT

A 16-year-old boy was diagnosed with ischemic myelopathy secondary to FCE 2 years after symptom onset. Diagnosis was delayed because the clinical and radiological characteristics were not recognized initially. After rehabilitation, the patient made a modest recovery.

CONCLUSIONS

Diagnosis of FCE can be made by recognition of the characteristic clinical and radiological features and a high index of suspicion.

摘要

研究设计

一例表现为急性脊髓病的纤维软骨栓塞(FCE)病例报告。

目的

阐述FCE的临床表现及磁共振成像特征。

地点

约翰·霍普金斯横贯性脊髓炎中心。

病例报告

一名16岁男孩在症状出现2年后被诊断为继发于FCE的缺血性脊髓病。诊断延迟是因为最初未认识到其临床和放射学特征。经过康复治疗,患者有一定程度的恢复。

结论

通过识别特征性的临床和放射学特征以及高度的怀疑指数可作出FCE的诊断。

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