颈椎间盘突出导致急性布朗-塞卡尔综合征：术中神经监测记录的动态变化。
Cervical disc herniation producing acute Brown-Sequard syndrome: dynamic changes documented by intraoperative neuromonitoring.
机构信息
Department of Orthopaedic Surgery, Pontificia Universidad Catolica de Chile, Marcoleta 352, Santiago, Chile.
出版信息
Eur Spine J. 2012 Jun;21 Suppl 4(Suppl 4):S418-21. doi: 10.1007/s00586-011-1881-8. Epub 2011 Jun 16.
Abstract
INTRODUCTION
Brown-Sequard syndrome is an incomplete spinal cord lesion characterized by ipsilateral loss of motor function and contralateral loss of pain and temperature sensitivity, reflecting a hemi-compression or hemi-section of the spinal cord. Cervical disc herniation is an exceptional cause of this syndrome.
MATERIAL AND METHODS
We report a case of cervical disc herniation causing Brown-Sequard syndrome in a patient with an unusually rapid neurological deterioration associated to cervical extension, which was documented by neuromonitoring.
CONCLUSION
A prompt diagnosis, followed by spinal cord decompression should be warranted. Intraoperative neuromonitoring is a useful tool in preservation of neurologic function in these cases.
摘要
简介
布朗-塞卡尔综合征是一种不完全性脊髓损伤，其特征是同侧运动功能丧失和对侧疼痛及温度感觉丧失，反映了脊髓的半压迫或半横断。颈椎间盘突出症是该综合征的一个特殊病因。
材料与方法
我们报告了一例颈椎间盘突出症导致 Brown-Sequard 综合征的病例，患者神经功能迅速恶化，与颈椎伸展有关，神经监测对此进行了记录。
结论
及时诊断，随后进行脊髓减压是必要的。术中神经监测是保护此类病例神经功能的有用工具。
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