Radek A, Harat M, Zawirski M, Konopka E
Kliniki Neurochirurgii Instytutu Chirurgii WAM w Lodzi.
Neurol Neurochir Pol. 1988 Sep-Oct;22(5):463-7.
The authors report an extensive aneurysmal cyst of the spine at the cervicothoracic junction. During the disease in the patient (a girl aged 9 years) high-grade tetraparesis developed (with complete paralysis of lower extremities but with spared deep sensation and retained sphincter control). In the treatment a two-stage operation with radical removal of the cyst from anterior and posterior approach, spondylodesis and radiotherapy gave very good results as compared with the very poor condition before the operation. Nearly complete movements of all extremities returned, superficial sensation loss regressed. The usefulness of surgical treatment even in such advanced cases is stressed. CT was very helpful in the assessment of the extent of the tumour and its growth rate.
作者报告了一例发生于颈胸交界处的广泛的脊柱动脉瘤样骨囊肿。该患者为一名9岁女孩，患病期间出现了严重的四肢轻瘫（下肢完全瘫痪，但深部感觉保留且括约肌控制功能尚存）。在治疗过程中，采用前后入路分两阶段进行囊肿根治性切除、脊柱融合术及放疗，与术前极差的病情相比，取得了非常好的效果。四肢几乎完全恢复了活动，浅感觉丧失有所减轻。强调了即使在如此晚期病例中手术治疗的有效性。CT在评估肿瘤范围及其生长速度方面非常有帮助。
