因胸椎间盘突出导致的可逆转的 propriospinal 肌阵挛：长期随访。

Reversible propriospinal myoclonus due to thoracic disc herniation: long-term follow-up.

机构信息

Department of Neurology, Hanyang University, College of Medicine, Seoul, Republic of Korea.

出版信息

J Neurol Sci. 2012 Feb 15;313(1-2):32-4. doi: 10.1016/j.jns.2011.09.036. Epub 2011 Oct 20.

DOI:10.1016/j.jns.2011.09.036

PMID:22014609

Abstract

PSM is a rare form of myoclonus of spinal origin. The thoracic level is considered as the myoclonic generator in most cases; however, structural abnormality in conventional magnetic resonance imaging (MRI) related to PSM is more rare. We report the case of a 23-year-old man with PSM with ventral thoracic disc herniation confirmed by conventional MRI, which completely resolved after thoracic discectomy. This case indicates that decompressive surgery might be a valid treatment option.

摘要

PSM 是一种罕见的脊髓起源的肌阵挛形式。在大多数情况下，胸段被认为是肌阵挛的发生器；然而，与 PSM 相关的常规磁共振成像（MRI）的结构异常则更为罕见。我们报告了一例 23 岁男性 PSM 患者，常规 MRI 证实为胸段腹侧椎间盘突出症，经胸椎间盘切除术治疗后完全缓解。该病例表明，减压手术可能是一种有效的治疗选择。