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[椎管棘球蚴病]

[Echinococcosis of the spinal canal].

作者信息

Rosin V S

出版信息

Klin Med (Mosk). 1990 Dec;68(12):60-2.

PMID:2084346
Abstract

Among various forms of echinococcosis its location in the spinal canal and bone marrow affection are the rarest. Intravital diagnosis is complicated. As a rule, the disease manifests primarily with radicular syndrome followed by marrow compression, asymmetric compression of the roots of cauda equina and pelvic disfunction. The cerebrospinal fluid becomes xanthochromic with hyperalbuminosis and albuminocytologic dissociation. Myelography shows filling defect. Spinal x-ray examination detects specific changes of the vertebra and ossification foci. Unfavorable epidemiological situation may be indicative of probable infection and prompt a valid diagnosis. Surgery is advocated as the only adequate treatment.

摘要

在各种棘球蚴病中,其位于椎管内和累及骨髓的情况最为罕见。活体诊断较为复杂。通常,该病主要表现为神经根综合征,随后出现骨髓受压、马尾神经根不对称受压及盆腔功能障碍。脑脊液呈黄色,伴有高蛋白血症和蛋白细胞分离。脊髓造影显示充盈缺损。脊柱X线检查可发现椎体的特异性改变和骨化灶。不利的流行病学情况可能提示可能感染,从而促使做出有效诊断。手术被认为是唯一适当的治疗方法。

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