Narumi S, Saiki I, Kidoguchi J, Kanaya H, Tomita Y, Abe H
Department of Neurosurgery, Iwate Medical University.
No Shinkei Geka. 1990 Sep;18(9):851-4.
A 37-year-old man had received cervical spinal-cord injury 20 years previously. Recently, he complained of progressive spastic gait and was shown to have fracture dislocation of the C5 vertebral body which compressed the spinal cord posteriorly. He also had a syrinx from the C5 to C2 vertebral level. Postoperatively, this syrinx disappeared after anterior decompression of the C4 and C5 vertebral bodies. Such a case as this has never been reported, and this case may give a suggestion for surgical treatment of syringomyelia, because it is very natural that the most reasonable treatment of any disease is removal of the cause.
一名37岁男性20年前曾遭受颈脊髓损伤。最近,他主诉进行性痉挛性步态,检查发现C5椎体骨折脱位并向后压迫脊髓。他还存在从C5至C2椎体水平的空洞。术后,在对C4和C5椎体进行前路减压后,该空洞消失。这样的病例从未有过报道,该病例可能为脊髓空洞症的手术治疗提供启示,因为任何疾病最合理的治疗方法自然是去除病因。