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颈椎区域脊柱转移瘤的手术指征。

Indication for surgery of spinal metastases within the cervical region.

作者信息

Kashab M, Böker D K

机构信息

Neurosurgical University Clinic, Bonn, West Germany.

出版信息

Neurosurg Rev. 1988;11(1):95-7. doi: 10.1007/BF01795700.

DOI:10.1007/BF01795700
PMID:3217024
Abstract

A 40-year-old female patient developed a nearly complete tetraparesis within two weeks. Neurological examination showed nearly complete tetraparesis, complete sensory impairment from the level of C4 and hyperreflexia of tendon jerks. Radiological examination showed a space occupying lesion with an extraspinal extension. Operative decompression was carried out and the patient recovered completely within 3 months.

摘要

一名40岁女性患者在两周内发展为几乎完全性四肢轻瘫。神经系统检查显示几乎完全性四肢轻瘫、C4水平以下完全感觉障碍以及腱反射亢进。影像学检查显示一个有椎管外延伸的占位性病变。进行了手术减压,患者在3个月内完全康复。

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引用本文的文献

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Posterolateral approach for anterior resection and posterior stabilization of the upper cervical spine: a case report.上颈椎前路切除及后路稳定术的后外侧入路:1例病例报告
Iowa Orthop J. 1996;16:157-60.

本文引用的文献

1
Malignant tumours of the spine and the spinal extradural space; a study based on 250 histologically verified cases.脊柱及脊柱硬膜外间隙恶性肿瘤;基于250例组织学确诊病例的研究
Acta Chir Scand Suppl. 1957;225:1-176.
2
The results of laminectomy for compression of the cord or cauda equina by extradural malignant tumour.硬膜外恶性肿瘤压迫脊髓或马尾神经行椎板切除术的结果。
J Bone Joint Surg Br. 1973 Aug;55(3):497-505.
3
Spinal carcinomatous metastases. Retrospective study of 67 surgically treated cases.脊髓癌转移。67例手术治疗病例的回顾性研究。
J Neurooncol. 1985;3(3):251-7. doi: 10.1007/BF00165186.
4
Treatment outcome and complications in patients treated for malignant epidural spinal cord compression (SCC).
J Neurooncol. 1985;3(1):77-84. doi: 10.1007/BF00165175.
5
Metastases to the vertebral column.脊柱转移瘤。
Cancer. 1975 Aug;36(2):590-4. doi: 10.1002/1097-0142(197508)36:2<590::aid-cncr2820360240>3.0.co;2-f.
6
Indications for neurosurgical intervention in metastatic lesions of the central nervous system.中枢神经系统转移瘤的神经外科干预指征。
Med Clin North Am. 1975 Mar;59(2):487-94. doi: 10.1016/s0025-7125(16)32050-8.