Nakano Hiroto, Sakai Kenji, Iwasa Kazuo, Yamada Masahito
Department of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Sciences, Japan.
Intern Med. 2017 Aug 15;56(16):2213-2215. doi: 10.2169/internalmedicine.8322-16. Epub 2017 Aug 1.
We herein describe a 37-year-old man who developed cervical flexion myelopathy 11 years after suffering a cervical spinal cord injury. Cervical magnetic resonance imaging 11 years after the accident demonstrated atrophy and hyperintense lesions at the C6 and C7 levels in the cervical cord with an abnormal alignment of the vertebrae. In the neck flexion position, an anterior shift of the cervical cord was evident. Our patient's condition suggests that an abnormal alignment of the cervical spine and spinal cord injury due to a traumatic accident could be risk factors in the subsequent development of cervical flexion myelopathy.
我们在此描述一名37岁男性,他在颈椎脊髓损伤11年后出现了颈椎前屈型脊髓病。事故发生11年后的颈椎磁共振成像显示,颈髓C6和C7水平有萎缩和高信号病变,椎体排列异常。在颈部前屈位时,颈髓明显向前移位。我们患者的情况表明,创伤性事故导致的颈椎排列异常和脊髓损伤可能是随后发生颈椎前屈型脊髓病的危险因素。