Henin P, Molderez A, Huberlant V, Trine H
Groupe Jolimont, Centre Hospitalier de Jolimont, 159 rue Ferrer, 7100 Haine Saint Paul, Belgium.
Case Rep Crit Care. 2017;2017:1571048. doi: 10.1155/2017/1571048. Epub 2017 Feb 20.
We report the case of a patient admitted to our intensive care unit in the course of a septic shock, secondary to cholangitis. After rapid hemodynamic stabilization, antibiotherapy, and endoscopic extraction of bile ducts stones, she appeared to have developed flaccid paraplegia. The suspected diagnosis of medullar ischemia was confirmed by typical MRI findings. This case stresses the potential pathogenic role of hypotension in medullar ischemia and the place of magnetic resonance imaging (MRI) as a reliable diagnostic tool.
我们报告了一例因胆管炎继发感染性休克而入住我们重症监护病房的患者。在快速实现血流动力学稳定、进行抗生素治疗以及通过内镜取出胆管结石后,她似乎出现了弛缓性截瘫。典型的MRI表现证实了髓质缺血的疑似诊断。该病例强调了低血压在髓质缺血中的潜在致病作用以及磁共振成像(MRI)作为可靠诊断工具的地位。