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表现为马尾神经综合征的假性脑脊膜膨出:“球阀”理论是答案吗?

Pseudomeningocele presenting with cauda equina syndrome: is a 'ball-valve' theory the answer?

作者信息

Asha M J, George K J, Choksey M

机构信息

Department of Neurosurgery, University Hospital of Coventry and Warwickshire, Coventry, UK.

出版信息

Br J Neurosurg. 2011 Dec;25(6):766-8. doi: 10.3109/02688697.2011.578768. Epub 2011 May 18.

DOI:10.3109/02688697.2011.578768
PMID:21591855
Abstract

Pseudomeningocele is an uncommon complication of spinal surgery. The condition is most often asymptomatic and self-limiting. A proportion of patients may present with lower back pain, dural fistulas, radiculopathy or myelopathy. Cauda equina syndrome due to a pseudomeningocele has been reported due to herniation of the Cauda equina roots through the dural defect. We report a case of large pseudomeningocele causing an impending Cauda equina syndrome by acting as an extradural mass lesion.

摘要

假性脊膜膨出是脊柱手术中一种罕见的并发症。这种情况通常无症状且具有自限性。一部分患者可能会出现下背痛、硬脊膜瘘、神经根病或脊髓病。曾有因马尾神经根通过硬脊膜缺损处疝出导致假性脊膜膨出引起马尾综合征的报道。我们报告一例巨大假性脊膜膨出作为硬膜外肿块病变导致即将发生马尾综合征的病例。

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