Department of Radiology, National Spinal Injuries Center, Stoke Mandeville Hospital, Buckinghamshire, UK.
Spinal Cord. 2012 Aug;50(8):638-40. doi: 10.1038/sc.2011.133. Epub 2011 Dec 13.
Case report.
To describe the clinical benefit of a spinal cordectomy with the aim of limiting neurological deterioration related to the development of a subacute posttraumatic ascending myelopathy (SPAM) supporting previously described mechanism for SPAM formation.
National Spinal Injuries Centre, Stoke Mandeville Hospital, UK.
A 38-year old patient presented 6 months after spinal cord injury substantial neurological deterioration expanding from the initial T4-injury level through C4. Magnetic resonance imaging revealed intra-medullary haemorrhage at the site of injury and subsequent-ascending cord oedema. A cordectomy was performed leading to neurological stabilisation and complete resolution of SPAM.
Cordectomy can be an effective intervention in case of rapid progressive neurological deterioration.
病例报告。
描述脊髓切除术的临床获益，旨在限制与亚急性创伤后上升性脊髓病（SPAM）相关的神经恶化，支持先前描述的 SPAM 形成机制。
英国斯托克曼德维尔医院国家脊柱损伤中心。
一位 38 岁患者在脊髓损伤后 6 个月出现明显的神经恶化，从最初的 T4 损伤水平扩展到 C4。磁共振成像显示损伤部位的髓内出血和随后的脊髓水肿。进行了脊髓切除术，导致神经稳定和 SPAM 的完全消退。
在神经恶化迅速进展的情况下，脊髓切除术可能是一种有效的干预措施。
