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突发截瘫由出血性胸椎滑膜囊肿引起。

Sudden Onset of Paraparesis Caused by a Hemorrhagic Thoracic Synovial Cyst.

机构信息

Department of Neurosurgery, Sir Charles Gairdner Hospital, Perth, Australia.

Department of Neurosurgery, Sir Charles Gairdner Hospital, Perth, Australia; School of Medicine, University of Western Australia, Perth, Australia.

出版信息

World Neurosurg. 2019 Dec;132:326-328. doi: 10.1016/j.wneu.2019.08.096. Epub 2019 Aug 23.

DOI:10.1016/j.wneu.2019.08.096
PMID:31449995
Abstract

BACKGROUND

Hemorrhage is a rare presentation of spinal synovial cysts, which are usually located in the lumbar spine. They may cause an epidural hematoma and compression of the cauda equina. Infrequently, they may be located in the thoracic spine.

CASE DESCRIPTION

We present a case of sudden onset paraparesis caused by hemorrhage in a synovial cyst at a midthoracic level. Clinical, radiologic, and histologic findings are described.

CONCLUSIONS

This report describes a unique case of hemorrhagic synovial cyst at the mid-thoracic spine. These lesions are rarely located in the cervico-thoracic spine but should be included in the differential diagnosis of myelopathy.

摘要

背景

出血是脊柱滑膜囊肿的罕见表现,通常位于腰椎。它们可能导致硬膜外血肿和马尾受压。很少见的情况下,它们可能位于胸椎。

病例描述

我们报告了一例由中胸椎水平滑膜囊肿出血引起的突发性截瘫病例。描述了临床、影像学和组织学发现。

结论

本报告描述了一例独特的中胸椎出血性滑膜囊肿病例。这些病变很少位于颈胸段脊柱,但应包括在脊髓病的鉴别诊断中。

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