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库欣综合征患者双下肢轻瘫的罕见病因。

Unusual cause of paraparesis in a patient with Cushing's syndrome.

作者信息

Jarial Kush Dev, Ahuja Chirag K, Mukherjee Soham, Bhansali Anil

机构信息

Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Department of Radiodiagnosis, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

BMJ Case Rep. 2016 Sep 21;2016:bcr2016217304. doi: 10.1136/bcr-2016-217304.

Abstract

Paraparesis is a rare manifestation in patients with Cushing's syndrome and the causes include vertebral compression fracture, hypokalaemia, spinal epidural lipomatosis, paraneoplastic syndrome and metastasis to the vertebrae and spinal cord. We report an unusual cause of paraparesis due to radiation-induced myelomalacia in a patient with adrenocortical carcinoma-associated Cushing's syndrome, who are predisposed to radiation-induced injury.

摘要

双下肢轻瘫是库欣综合征患者的一种罕见表现,其病因包括椎体压缩性骨折、低钾血症、脊髓硬膜外脂肪增多症、副肿瘤综合征以及椎体和脊髓转移。我们报告了一例肾上腺皮质癌相关库欣综合征患者因放射性脊髓软化导致双下肢轻瘫的不寻常病因,这类患者易发生放射性损伤。

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本文引用的文献

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Clinical management of adrenocortical carcinoma.肾上腺皮质癌的临床管理
Best Pract Res Clin Endocrinol Metab. 2009 Apr;23(2):273-89. doi: 10.1016/j.beem.2008.10.008.
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