Dubey Amitesh, Tomar Sachin, Gupta Ashok, Khandelwal Dinesh
Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, India.
Asian J Neurosurg. 2018 Jul-Sep;13(3):867-869. doi: 10.4103/1793-5482.238013.
Noncompressive myelopathy of lower dorsal spine secondary to trauma is a rare event. We report a case of delayed paraplegia in a patient with a history of road traffic accident. The X-ray of dorsolumbar spine did not show any abnormality. Magnetic resonance imaging of dorsolumbar spine was performed which showed the presence of central T2-weighted hyperintensities from D10-D11 to D12-L1 level. No associated bony injury was documented, and the integrity of the spinal canal was maintained. The patient was managed conservatively with bed rest, and steroids were given. However, the patient did not show any signs of improvement after 1 month of follow-up.
创伤继发下胸段脊柱非压迫性脊髓病是一种罕见的情况。我们报告一例有道路交通事故史患者发生延迟性截瘫的病例。胸腰段脊柱X线检查未显示任何异常。对胸腰段脊柱进行了磁共振成像检查，结果显示从胸10-胸11至胸12-腰1水平存在中央T2加权高信号。未记录到相关的骨损伤，椎管完整性得以维持。患者接受了卧床休息的保守治疗，并给予了类固醇药物。然而，随访1个月后患者未显示出任何改善迹象。
