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齿突骨导致寰枢椎半脱位患者因过度伸展引起的布朗 - 色夸综合征

Brown-Sequard syndrome caused by hyperextension in a patient with atlantoaxial subluxation due to an os odontoideum.

作者信息

Lee Dong-Yeong, Jeong Soon-Taek, Lee Tae-Ho, Kim Dong-Hee

机构信息

Department of Orthopaedic Surgery, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Republic of Korea.

Department of Orthopaedic Surgery, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Republic of Korea.

出版信息

Acta Orthop Traumatol Turc. 2018 May;52(3):240-243. doi: 10.1016/j.aott.2017.11.005. Epub 2017 Nov 23.

DOI:10.1016/j.aott.2017.11.005
PMID:29174476
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6136337/
Abstract

Brown-Sequard syndrome is an uncommon complication of atlantoaxial arthrodesis. A 50-year-old female visited our emergency department after falling from a ladder. Radiologic evaluations revealed chronic C1-2 instability with acute spinal cord injury. The day after atlantoaxial fusion was performed, she developed left-sided motor weakness and the loss of right-sided pain and temperature sensation. Based on physical examination and radiologic findings, we diagnosed her as having Brown-Sequard syndrome. Spine surgeons performing this procedure should therefore consider Brown-Sequard syndrome if a patient displays signs of postoperative hemiplegia.

摘要

布朗 - 色夸综合征是寰枢关节融合术一种罕见的并发症。一名50岁女性从梯子上跌落后来到我们的急诊科。影像学评估显示存在慢性C1 - 2不稳定伴急性脊髓损伤。在进行寰枢融合术后第二天，她出现左侧运动无力以及右侧痛觉和温度觉丧失。根据体格检查和影像学检查结果，我们诊断她患有布朗 - 色夸综合征。因此，实施该手术的脊柱外科医生如果患者出现术后偏瘫迹象，应考虑布朗 - 色夸综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e911/6136337/94f21525ad7d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e911/6136337/2b4b35ebf2ad/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e911/6136337/1d390f8e26a9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e911/6136337/42072842b79d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e911/6136337/b6ba6f892646/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e911/6136337/94f21525ad7d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e911/6136337/2b4b35ebf2ad/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e911/6136337/1d390f8e26a9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e911/6136337/42072842b79d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e911/6136337/b6ba6f892646/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e911/6136337/94f21525ad7d/gr5.jpg

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