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[伴有严重神经影响的创伤性颈椎间盘突出症]

[Traumatic cervical disc prolapse with severe neurological impact].

作者信息

Knudsen Roland, Gundtoft Per

机构信息

Ortopædkirurgisk Afdeling, Kolding Sygehus, Skovvangen 2-8, 6000 Kolding.

出版信息

Ugeskr Laeger. 2014 Dec 15;176(25A).

Abstract

A 51-year-old male drove into a ditch on his scooter. Immediately after the trauma the patient complained of neck pain and decreased ability to feel and move his extremities. An initial trauma computed tomography (CT) of the columna showed normal conditions. Because the patient had neurological deficiencies, magnetic resonance imaging of the columna was performed 12 days later, and a disc prolapse at the C3/C4 level with spinal cord compression was visible. Despite decompression the patient did not recover. Traumatic cervical disc prolapse is a rare and positionally dangerous condition, which can be present despite a CT showing normal conditions.

摘要

一名51岁男性骑摩托车冲进沟里。受伤后,患者立即抱怨颈部疼痛,四肢感觉和活动能力下降。脊柱的初步创伤计算机断层扫描(CT)显示情况正常。由于患者存在神经功能缺陷,12天后进行了脊柱磁共振成像,可见C3/C4水平椎间盘突出伴脊髓受压。尽管进行了减压,患者仍未康复。创伤性颈椎间盘突出是一种罕见且位置危险的情况,即使CT显示正常也可能存在。

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