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结核性脑膜炎后脊髓空洞症和延髓空洞症

Syringomyelia and syringobulbia following tuberculous meningitis.

作者信息

Schon F, Bowler J V

机构信息

Department of Neurology, Atkinson Morley's Hospital, Wimbledon, London, UK.

出版信息

J Neurol. 1990 Apr;237(2):122-3. doi: 10.1007/BF00314677.

DOI:10.1007/BF00314677
PMID:2192017
Abstract

Tuberculous meningitis may rarely be followed by the development of a syrinx even after apparently successful chemotherapy. There are only six previously reported cases of this unusual complication; these are reviewed. A case is described of syringomyelia which developed 1 year after TBM. One year later magnetic resonance imaging demonstrated not only the spontaneous resolution of the syringomyelia but also the appearance of a new cavity within the brain stem. This surprising sequence of events illustrates the need for extensive studies of the natural history of syrinxes of differing aetiologies.

摘要

结核性脑膜炎即使在化疗明显成功后,也可能很少继发形成空洞,即便空洞形成。此前仅有6例这种不寻常并发症的报道,现对这些病例进行回顾。本文描述了1例结核性脑膜炎后1年发生的脊髓空洞症病例。1年后,磁共振成像不仅显示脊髓空洞症自行消退,还显示脑干内出现了一个新的空洞。这一令人惊讶的事件序列表明,需要对不同病因的空洞自然史进行广泛研究。

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本文引用的文献

1
HYDRODYNAMIC MECHANISM OF SYRINGOMYELIA: ITS RELATIONSHIP TO MYELOCELE.脊髓空洞症的流体动力学机制:其与脊髓脊膜膨出的关系。
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Syringomyelia and its surgical treatment--an analysis of 75 patients.脊髓空洞症及其外科治疗——75例病例分析
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Syringomyelia due to chronic arachnoiditis at the foramen magnum.枕大孔处慢性蛛网膜炎所致脊髓空洞症。
孤立性创伤后延髓空洞症;病例报告及文献综述
Bull Emerg Trauma. 2014 Oct;2(4):166-9.
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Spinal cord involvement in tuberculous meningitis.结核性脑膜炎的脊髓受累情况。
Spinal Cord. 2015 Sep;53(9):649-57. doi: 10.1038/sc.2015.58. Epub 2015 Apr 21.
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Diagnosis and results of different treatment regimens in patients with spinal abscesses.脊柱脓肿患者不同治疗方案的诊断与结果
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6
Tuberculous myelopathy: a serial MRI study.结核性脊髓病:一项MRI系列研究
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Communicating syringomyelia following cured tuberculous meningitis.结核性脑膜炎治愈后发生的交通性脊髓空洞症。
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MRI measurement of syrinx size before and after operation.术前及术后脊髓空洞大小的磁共振成像测量
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