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动脉瘤性蛛网膜下腔出血后迟发性延髓综合征。一例囊性蛛网膜炎病例报告!

Delayed Medullar Syndrome after Aneurysmal Subarachnoid Haemorrhage. A Case report of Cystic Arachnoiditis!

作者信息

Silva N, Januel A C, Sabatier J, Demonet J F, Tall P, Cognard C

机构信息

Department of Neuroradiology, Hopital Purpan, University of Toulouse, France -

出版信息

Interv Neuroradiol. 2007 Jun;13(2):201-4. doi: 10.1177/159101990701300212. Epub 2007 Sep 13.

Abstract

We described a case of chronic spinal cystic arachnoiditis after subarachnoid haemorrhage in a 54-year-old woman with a ruptured vertebral artery aneurysm treated by coils. At three months she complained of lumbar pain.At twelve months she presented lower limbs paresthesia then a rapidly bilateral motor deficit. MR showed a spinal arachnoiditis with two compressive cysts. Surgical decompression was inefficient and after three months spinal compression symptoms worsened and MR signs were unchanged.

摘要

我们描述了一例54岁女性在接受弹簧圈治疗破裂椎动脉动脉瘤后发生蛛网膜下腔出血,继而出现慢性脊髓囊性蛛网膜炎的病例。三个月时,她主诉腰痛。十二个月时,她出现下肢感觉异常,随后迅速出现双侧运动功能障碍。磁共振成像显示脊髓蛛网膜炎伴两个压迫性囊肿。手术减压无效,三个月后脊髓压迫症状加重,磁共振成像征象未改变。

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J Neurosurg. 2002 Sep;97(3):722. doi: 10.3171/jns.2002.97.3.0722.
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Diagnostic and therapeutic management of spinal arachnoid cysts.脊髓蛛网膜囊肿的诊断与治疗管理
Acta Neurochir (Wien). 2001;143(3):227-34; discussion 234-5. doi: 10.1007/s007010170102.
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Spinal arachnoiditis following subarachnoid haemorrhage: report of two cases and review of the literature.
Acta Neurochir (Wien). 2000;142(7):795-8; discussion 798-9. doi: 10.1007/s007010070094.
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Transient increase in procollagen propeptides in the CSF after subarachnoid hemorrhage.
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Spinal arachnoiditis following subarachnoid haemorrhage.
Aust N Z J Surg. 1989 Jan;59(1):84-7. doi: 10.1111/j.1445-2197.1989.tb01470.x.

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