冲浪者脊髓病：在非冲浪环境中的罕见表现及文献综述。
Surfer's myelopathy: a rare presentation in a non-surfing setting and review of the literature.
作者信息
Maharaj Monish M, Phan Kevin, Hariswamy Soumya, Rao Prashanth J
机构信息
NeuroSpine Surgery Research Group (NSURG), Sydney, Australia; ; Faculty of Medicine, University of New South Wales, Sydney, Australia.
NeuroSpine Surgery Research Group (NSURG), Sydney, Australia; ; Faculty of Medicine, University of Sydney, Sydney, Australia.
出版信息
J Spine Surg. 2016 Sep;2(3):222-226. doi: 10.21037/jss.2016.09.07.
BACKGROUND
Surfers myelopathy can be a rapidly devastating disease and little is known surrounding the pathophysiology of the condition. Although the classical pattern of illness has been well reported, it has never been observed in a non-surfing setting.
METHODS
A 51-year-old demolition worker presented with acute non-traumatic myelopathy. Clinical examination revealed sensory loss to the level of L2. T2-MRI and MRI-DWI revealed a hyperintense signal suggestive of an ischaemic event. A diagnosis of surfer's myelopathy was made and he was commenced on steroid therapy.
RESULTS
Following steroid therapy and fluid management the patient was discharged after 6 days with minor anaethesia but significant overall neurological improvement.
CONCLUSIONS
Diagnosis of SM requires a thorough history, clinical examination and imaging (MRI, MRI-DWI). The patient should be admitted early and investigated. The use of rehabilitation services may be useful if available.
背景
冲浪者脊髓病可能是一种迅速造成严重损害的疾病，人们对该病症的病理生理学知之甚少。尽管已充分报道了该病的经典发病模式，但从未在非冲浪环境中观察到。
方法
一名51岁的拆除工人出现急性非创伤性脊髓病。临床检查发现L2水平以下感觉丧失。T2加权磁共振成像（T2-MRI）和弥散加权成像（MRI-DWI）显示高信号，提示缺血事件。诊断为冲浪者脊髓病，并开始给予类固醇治疗。
结果
经过类固醇治疗和液体管理，患者在6天后出院，仍有轻微感觉缺失，但总体神经功能有显著改善。
结论
冲浪者脊髓病的诊断需要详细的病史、临床检查和影像学检查（MRI、MRI-DWI）。患者应尽早入院并接受检查。如有康复服务，使用康复服务可能会有所帮助。
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