脑脊液分流功能障碍伴四肢瘫痪的脊髓空洞症：病例说明
Syringomyelia with quadriparesis in CSF shunt malfunction: a case illustration.
作者信息
Martínez-Lage Juan F, Alarcón Fernando, López López-Guerrero Antonio, Felipe-Murcia Matías, Ruíz-Espejo Vilar Antonio, Almagro María-José
机构信息
Regional Service of Neurosurgery, Virgen de la Arrixaca University Hospital, El Palmar, Murcia, Spain.
出版信息
Childs Nerv Syst. 2010 Sep;26(9):1229-31. doi: 10.1007/s00381-010-1165-3. Epub 2010 May 6.
BACKGROUND
Shunt malfunction typically presents with headaches, vomiting, and impaired consciousness. Paraparesis has been rarely reported as the initial manifestation of valve dysfunction.
CASE ILLUSTRATION
A 17-year-old boy was admitted with invalidating quadriparesis that after neuroimaging evaluation was found to be produced by communicating syringomyelia attributed to shunt malfunction.
DISCUSSION AND CONCLUSION
Persistence of the central canal in association with communicating hydrocephalus may lead to the development of communicating syringomyelia. In this context, insufficient drainage of CSF produced by shunt dysfunction may evolve exclusively with symptoms and signs of spinal cord involvement in the absence of the usual cerebral manifestations related to shunt failure.
背景
分流器故障通常表现为头痛、呕吐和意识障碍。截瘫作为瓣膜功能障碍的初始表现鲜有报道。
病例说明
一名17岁男孩因四肢瘫入院，经神经影像学评估发现是由分流器故障导致的交通性脊髓空洞症引起的。
讨论与结论
中央管持续存在并伴有交通性脑积水可能导致交通性脊髓空洞症的发生。在这种情况下，分流器功能障碍导致的脑脊液引流不足可能仅表现为脊髓受累的症状和体征，而无通常与分流器故障相关的脑部表现。
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