Agrawal Amit, Shetty M Shantharam, Pandit Lekha, Shetty Lathika, Srikrishna U
Department of Surgery, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, India.
Indian J Orthop. 2007 Oct;41(4):398-400. doi: 10.4103/0019-5413.37006.
Progressive post-traumatic cystic syringomyelia is an uncommon and increasingly recognized cause of morbidity following spinal cord injury. We hereby report a 35-year-old gentleman who sustained wedge compression fracture of L-1 vertebral body 15 years back and had complete paraplegia with bowel/bladder involvement. The neurological deficit recovered with minimal residual motor deficits and erectile dysfunction. He presented now with increasing neurological deficits associated with pain and paresthesia. The MRI spine showed a syrinx extending from the site of injury up to the medulla. He underwent a syringo-peritoneal shunt and at followup his pain and motor functions had improved but erectile dysfunction was persisting.
进行性创伤后囊性脊髓空洞症是脊髓损伤后一种罕见且日益被认识到的发病原因。我们在此报告一名35岁男性，他15年前发生L1椎体楔形压缩骨折，导致完全性截瘫并伴有肠道/膀胱功能障碍。神经功能缺损有所恢复，仅残留轻微运动功能障碍和勃起功能障碍。他现在出现了与疼痛和感觉异常相关的神经功能缺损加重。脊柱MRI显示一个脊髓空洞从损伤部位延伸至延髓。他接受了脊髓空洞-腹腔分流术，随访时其疼痛和运动功能有所改善，但勃起功能障碍仍然存在。
