颈椎管狭窄所致颈胸段脊髓空洞症：病例报告及文献复习
Cervicothoracic syringomyelia caused by cervical spinal stenosis: Case report and literature review.
作者信息
Badri Mohamed, Gader Ghassen, Bahri Kamel, Zammel Ihsen
机构信息
Department of Neurosurgery, Faculty of medicine of Tunis, El Manar-Tunis University, Burns and Trauma Center, Ben Arous, Tunisia.
出版信息
Surg Neurol Int. 2017 Dec 6;8:288. doi: 10.4103/sni.sni_350_17. eCollection 2017.
BACKGROUND
Syringomyelia is commonly associated with Chiari malformations, spinal trauma, arachnoiditis, or tumors. However, rarely, cervical canal stenosis is implicated in intramedullary cavitations.
CASE DISCRIPTION
Here, we report the case of a 60-year-old male patient who presented with loss of pain and temperature sensation in upper extremities associated with a spastic tetraparesis. On magnetic resonance imaging, the patient was found to have syringomyelia extending from C1 to Th3. Following posterior decompressive surgery, the syrinx resolved along with the patient's neurological complaints.
CONCLUSION
Here, the authors presented a case and reviewed the literature regarding how cervical spinal stenosis may contribute to cervical or thoracic syringomyelia.
背景
脊髓空洞症通常与 Chiari 畸形、脊柱外伤、蛛网膜炎或肿瘤相关。然而，颈椎管狭窄导致髓内空洞形成的情况较为罕见。
病例描述
在此，我们报告一例 60 岁男性患者，其表现为上肢痛温觉丧失并伴有痉挛性四肢轻瘫。磁共振成像显示，该患者患有从 C1 延伸至 Th3 的脊髓空洞症。后路减压手术后，空洞消失，患者的神经症状也随之缓解。
结论
本文作者报告了一例病例，并回顾了关于颈椎管狭窄如何导致颈段或胸段脊髓空洞症的相关文献。
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