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神经外科医生还是脊柱外科医生——谁应该治疗马尾综合征?

Neurosurgeon or spinal surgeon - who should treat cauda equina syndrome?

作者信息

Cowie Christopher James Andrew, Ellenbogen Jonathan Richard

机构信息

a Paediatric Neurosurgery , Royal Children's Hospital Melbourne , Parkville , VIC , Australia.

出版信息

Br J Neurosurg. 2017 Jun;31(3):289. doi: 10.1080/02688697.2017.1297382. Epub 2017 Mar 2.

DOI:10.1080/02688697.2017.1297382
PMID:28637116
Abstract

Suspected cauda equina syndrome (CES) requires urgent evaluation, investigation and treatment. Timing of cauda equina decompression is crucial, and delays in its management, leading to significant irreversible disability can be devastating for patient and surgeon alike. The standard of care in CES therefore needs to be clear and unambiguous. Todd and Dickson have written an excellent paper summarising the condition, and have outlined what they feel is the standard of care. We would ask the authors to clarify an important point.

摘要

疑似马尾综合征(CES)需要紧急评估、检查和治疗。马尾神经减压的时机至关重要,治疗延迟会导致严重的不可逆残疾,这对患者和外科医生来说都是灾难性的。因此,CES的护理标准需要清晰明确。托德和迪克森撰写了一篇出色的论文总结了这种情况,并概述了他们认为的护理标准。我们希望作者能澄清一个要点。

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