Chappel R, de Barsy A M, Dua G, Appel B, Herregods P
Department of Physical Medicine and Rehabilitation, Middelheimziekenhuis, Antwerp, Belgium.
Paraplegia. 1988 Dec;26(6):425-30. doi: 10.1038/sc.1988.66.
A case is presented of a 17-year-old boy who developed paraplegia after a sudden low back pain, like a 'stab in the back', with radicular radiation into the lower limbs. No trauma preceded the onset of symptoms. The diagnosis was finally made by neuroradiological investigations (magnetic resonance imaging (MRI), myelography and CT-scan). A review of the physiopathology of spinal angiomas, extra and/or intramedullary, by exclusion of vertebral (haem) angiomas, is made.
本文报告一例17岁男孩,在突发腰背痛(如“背部刺伤”样)后出现截瘫,并伴有下肢神经根性放射痛。症状发作前无外伤史。最终通过神经放射学检查(磁共振成像(MRI)、脊髓造影和CT扫描)做出诊断。通过排除椎体(血管)瘤,对椎管内外和/或髓内脊髓血管瘤的病理生理学进行了综述。