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重度创伤性脑损伤后伴脊髓空洞症的症状性Chiari畸形:病例报告

Symptomatic Chiari Malformation with Syringomyelia after Severe Traumatic Brain Injury: Case Report.

作者信息

Moscote-Salazar Luis Rafael, Zabaleta-Churio Nasly, Alcala-Cerra Gabriel, M Rubiano Andres, Calderon-Miranda Willem Guillermo, Alvis-Miranda Hernando Raphael, Agrawal Amit

机构信息

Department of Neurosurgery, Red Latino, Latin American Trauma and Intensive Neuro-Care Organization, Colombia.

Universidad Popular del Cesar, Colombia.

出版信息

Bull Emerg Trauma. 2016 Jan;4(1):58-61.

Abstract

Chiari malformation Type I (CM-I) is a congenital disorder, which is basically a tonsillar herniation (≥ 5 mm) below the foramen magnum with or without syringomyelia. The real cause behind this malformation is still unknown. Patients may remain asymptomatic until they engender a deteriorating situation, such as cervical trauma. The objective of this case report is to give a broad perspective on CM-I from the clinical findings obtained in a patient with asymptomatic non-communicating syringomyelia associated with a CM-I exacerbated within 2 years of a TBI, and to discuss issues related to that condition.

摘要

I型Chiari畸形(CM-I)是一种先天性疾病,基本上是枕骨大孔以下扁桃体疝(≥5mm),伴或不伴脊髓空洞症。这种畸形背后的真正原因仍然未知。患者可能一直无症状,直到出现病情恶化的情况,如颈部创伤。本病例报告的目的是根据一名患有无症状非交通性脊髓空洞症且与TBI后2年内病情加重的CM-I相关患者的临床发现,对CM-I进行全面的阐述,并讨论与该病症相关的问题。

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