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脊髓栓系综合征

Tethered Cord Syndrome.

作者信息

Catmull Shawn, Ashurst John

机构信息

Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona.

出版信息

Clin Pract Cases Emerg Med. 2019 Jul 3;3(3):297-298. doi: 10.5811/cpcem.2019.4.42536. eCollection 2019 Aug.

DOI:10.5811/cpcem.2019.4.42536
PMID:31404355
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6682221/
Abstract

Tethered spinal cord syndrome refers to signs and symptoms of motor and sensory dysfunction related to increased tension on the spinal cord due to its abnormal attachment; it has classically been associated with a low-lying conus medullaris. Treatment is primarily surgical and has varying degrees of results. Although rarely diagnosed in the emergency department, the emergency physician must be aware of the disease in patients presenting with signs and symptoms concerning for cauda equina syndrome.

摘要

脊髓拴系综合征是指由于脊髓异常附着导致脊髓张力增加而引起的运动和感觉功能障碍的体征和症状;传统上它与低位圆锥相关。治疗主要是手术治疗,效果各异。尽管在急诊科很少被诊断出来,但急诊医生必须对出现马尾综合征相关体征和症状的患者了解这种疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bc7/6682221/568fcde99022/cpcem-3-297-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bc7/6682221/22f32e415f5b/cpcem-3-297-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bc7/6682221/568fcde99022/cpcem-3-297-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bc7/6682221/22f32e415f5b/cpcem-3-297-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bc7/6682221/568fcde99022/cpcem-3-297-g002.jpg

相似文献

1
Tethered Cord Syndrome.脊髓栓系综合征
Clin Pract Cases Emerg Med. 2019 Jul 3;3(3):297-298. doi: 10.5811/cpcem.2019.4.42536. eCollection 2019 Aug.
2
Management of tight filum terminale syndrome with special emphasis on normal level conus medullaris (NLCM).终丝紧张综合征的治疗,特别强调脊髓圆锥正常位置(NLCM)
Surg Neurol. 1998 Oct;50(4):318-22; discussion 322.
3
Using subdural strip electrodes to define functional sensory nerves and the most inferior functional portion of the conus medullaris during detethering surgeries for tethered cord syndrome: a pilot study.在脊髓拴系综合征松解手术中使用硬膜下条形电极来确定功能性感觉神经和脊髓圆锥最下方的功能部分:一项初步研究。
J Neurosurg Spine. 2018 Oct;29(4):456-460. doi: 10.3171/2018.2.SPINE171240. Epub 2018 Jul 13.
4
Dynamic Lumbosacral Magnetic Resonance Imaging in a Dog with Tethered Cord Syndrome with a Tight Filum Terminale.一只患有终丝紧张性脊髓拴系综合征犬的动态腰骶部磁共振成像
Front Vet Sci. 2017 Aug 18;4:134. doi: 10.3389/fvets.2017.00134. eCollection 2017.
5
Spinal cord traction, vascular compromise, hypoxia, and metabolic derangements in the pathophysiology of tethered cord syndrome.脊髓牵引、血管受压、缺氧和代谢紊乱在脊髓栓系综合征的病理生理学中。
Neurosurg Focus. 2010 Jul;29(1):E9. doi: 10.3171/2010.3.FOCUS1085.
6
[Tethered spinal cord syndrome in adults].成人脊髓拴系综合征
Nervenarzt. 1997 Apr;68(4):285-91. doi: 10.1007/s001150050126.
7
Can the conus medullaris in normal position be tethered?正常位置的脊髓圆锥会发生栓系吗?
Neurol Res. 2004 Oct;26(7):727-31. doi: 10.1179/016164104225017910.
8
The conus medullaris ratio: A new way to identify tethered cord on MRI.圆锥脊髓比值:一种在磁共振成像(MRI)上识别脊髓拴系的新方法。
J Pediatr Surg. 2019 Feb;54(2):280-284. doi: 10.1016/j.jpedsurg.2018.10.081. Epub 2018 Nov 6.
9
Conus Medullaris Arachnoid Cyst Presenting as Cauda Equina Syndrome.表现为马尾综合征的圆锥蛛网膜囊肿
Asian J Neurosurg. 2017 Oct-Dec;12(4):707-709. doi: 10.4103/ajns.AJNS_36_15.
10
Mechanical relationship of filum terminale externum and filum terminale internum: is it possible to detether the spinal cord extradurally?终丝外部与终丝内部的力学关系:是否有可能在硬膜外松解脊髓栓系?
Childs Nerv Syst. 2018 Sep;34(9):1767-1770. doi: 10.1007/s00381-018-3837-3. Epub 2018 May 24.

引用本文的文献

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Analysis of Risk Factors for Anorectal Malformations Combined with Tethered Cord Syndrome and the Impact of Untethering Surgery on Anorectal Function in Related Children: Preliminary Results from a Single-Center Study.肛门直肠畸形合并脊髓栓系综合征的危险因素分析及松解手术对相关患儿肛门直肠功能的影响:一项单中心研究的初步结果
Children (Basel). 2024 Dec 10;11(12):1504. doi: 10.3390/children11121504.
2
Surgical outcomes of tethered cord syndrome in patients with normal conus medullaris and filum terminale without urologic symptoms.脊髓圆锥和终丝正常且无泌尿系统症状的患者中,脊髓拴系综合征的手术结果。
Childs Nerv Syst. 2024 Dec 13;41(1):47. doi: 10.1007/s00381-024-06713-0.
3

本文引用的文献

1
Tethered cord syndrome: a review of the literature from embryology to adult presentation.脊髓栓系综合征:从胚胎学到成人表现的文献综述。
Neurosurg Focus. 2010 Jul;29(1):E1. doi: 10.3171/2010.3.FOCUS1079.
2
Tethered cord syndrome.脊髓栓系综合征
Neurosurg Clin N Am. 2007 Jul;18(3):531-47. doi: 10.1016/j.nec.2007.04.001.
3
Tethered cord syndrome in adults.成人脊髓栓系综合征
Decoding Chiari Malformation and Syringomyelia: From Epidemiology and Genetics to Advanced Diagnosis and Management Strategies.
解读Chiari畸形与脊髓空洞症:从流行病学和遗传学到先进的诊断与管理策略
Brain Sci. 2023 Nov 30;13(12):1658. doi: 10.3390/brainsci13121658.
4
Disparities in indications and outcomes reporting for pediatric tethered cord surgery: The need for a standardized outcome assessment tool.小儿脊髓栓系松解手术适应证和结局报告的差异:需要标准化的结局评估工具。
Childs Nerv Syst. 2024 Apr;40(4):1111-1120. doi: 10.1007/s00381-023-06246-y. Epub 2023 Dec 11.
Acta Neurochir (Wien). 2000;142(10):1111-5. doi: 10.1007/s007010070038.