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[I型Chiari畸形伴小脑萎缩。病例报告]

[Type I Chiari malformation associated with cerebellar atrophy. Case report].

作者信息

Moscote-Salazar Luis Rafael, Calderón-Miranda Willem Guillermo, Alvis-Miranda Hernando Raphael, Lee-Aguirre Ángel, Alcalá-Cerra Gabriel

机构信息

Grupo de Investigación en Ciencias de la Salud y Neurociencias, Universidad de Cartagena, Cartagena de Indias, Colombia.

出版信息

Rev Med Inst Mex Seguro Soc. 2017 Mar-Apr;55(2):260-263.

Abstract

Chiari malformation is characterized by caudal displacement of the cerebellar tonsils that penetrate into the spinal canal through the foramen magnum, achieving reach the atlas or axis. trunk and any drop of the fourth ventricle is observed. Typically is seen in young adults. In some cases scoliosis and Syringomyelic cavities may occur. The authors present (as far as they know) the first case in the literature with long term follow-up, of a caucasian woman with an unusual form of cerebellar atrophy and Chiari Type I malformation, suffering from weakness in his upper and lower extremities with rapidly progression. The patient was successfully treated with suboccipital decompression and C1 laminectomy.

摘要

Chiari畸形的特征是小脑扁桃体尾端移位,经枕骨大孔进入椎管,可达第一颈椎或第二颈椎水平,并观察到第四脑室下移。典型病例见于年轻成人。在某些情况下,可能会出现脊柱侧弯和脊髓空洞症。作者(据他们所知)报告了文献中首例进行长期随访的病例,该病例为一名患有不寻常形式小脑萎缩和Chiari I型畸形的白人女性,上下肢无力且病情进展迅速。该患者接受枕下减压和C1椎板切除术治疗成功。

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