脊柱异物延迟就诊——病例报告及文献复习
Delayed presentation of spinal foreign body - Case report and review of literature.
作者信息
Onishi Franz J, Prandini Mirto N, Cavalheiro Sergio
机构信息
Department of Neurosurgery, São Paulo Federal University, São Paulo, Brasil.
出版信息
Surg Neurol Int. 2017 Jul 11;8:143. doi: 10.4103/sni.sni_74_17. eCollection 2017.
BACKGROUND
Although spinal cord injuries are frequent causes of myelopathy in young patients, stab wounds of the spinal cord rarely occur and are typically maximal symptomatic immediately after the trauma.
CASE DESCRIPTION
A 31-year-old male developed delayed onset of symptoms 4 years after a stab wound to the cervical spinal cord attributed to a plant needle (plant called Mandacaru). Following removal of the foreign body and decompression/excision of scarring at the C34 level, the patient's symptoms resolved.
CONCLUSION
Surgical excision should be encouraged to remove chronic penetrating foreign bodies to both decompress and untether the spinal cord.
背景
虽然脊髓损伤是年轻患者发生脊髓病的常见原因，但脊髓刺伤很少见，且通常在创伤后立即出现最大症状。
病例描述
一名31岁男性在颈部脊髓被植物针（一种名为曼陀罗的植物）刺伤4年后出现症状延迟发作。在取出异物并对C34水平的瘢痕进行减压/切除后，患者症状消失。
结论
应鼓励手术切除慢性穿透性异物，以减轻脊髓压迫并解除脊髓束缚。
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