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作为脊髓空洞症模仿髓内脂肪瘤病因的寰枢椎中央不稳。

Central atlantoaxial instability as a cause of syringomyelia mimic intramedullary lipoma.

作者信息

Goel Atul, Patil Abhinandan, Shah Abhidha, Rai Survendra, Vutha Ravikiran, Ranjan Shashi

机构信息

Department of Neurosurgery, KEM Hospital and Seth GS Medical College, Mumbai, Maharashtra, India.

Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India.

出版信息

J Craniovertebr Junction Spine. 2020 Apr-Jun;11(2):152-154. doi: 10.4103/jcvjs.JCVJS_65_20. Epub 2020 Jun 5.

DOI:10.4103/jcvjs.JCVJS_65_20
PMID:32904952
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7462140/
Abstract

A case of a 32-year-old male patient is reported. He was admitted with complaints of burning dysesthesias over his right upper limb and chest and spasticity in the legs. Investigations revealed a long segment intramedullary tumor, image intensity of which matched lipoma. Imaging of craniovertebral junction suggested atlantoaxial "facetal" instability. Atlantoaxial fixation was done, and the intramedullary lipoma was not physically handled or manipulated during surgery. The patient improved in his neurological condition following surgery. The follow-up imaging showed that the intramedullary lipoma reduced significantly in its dimensions. From the case, it appears that the presence of "fat" and "water" in the intramedullary location might have similar pathogenesis.

摘要

报告了一例32岁男性患者的病例。他因右上肢和胸部烧灼样感觉异常以及腿部痉挛而入院。检查发现一个长节段髓内肿瘤,其影像强度与脂肪瘤相符。颅颈交界区成像提示寰枢椎“关节面”不稳定。进行了寰枢椎固定术,手术过程中未对髓内脂肪瘤进行实际处理或操作。术后患者神经状况有所改善。随访成像显示髓内脂肪瘤尺寸显著减小。从该病例来看,髓内部位出现“脂肪”和“水”可能具有相似的发病机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a5a/7462140/026e1b235f08/JCVJS-11-152-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a5a/7462140/017368c3ca0d/JCVJS-11-152-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a5a/7462140/026e1b235f08/JCVJS-11-152-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a5a/7462140/017368c3ca0d/JCVJS-11-152-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a5a/7462140/026e1b235f08/JCVJS-11-152-g002.jpg

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J Craniovertebr Junction Spine. 2019 Jul-Sep;10(3):131-132. doi: 10.4103/jcvjs.JCVJS_92_19.
2
Atlantoaxial Fixation for Treatment of Chiari Formation and Syringomyelia with No Craniovertebral Bone Anomaly: Report of an Experience with 57 Cases.寰枢椎固定术治疗无颅颈骨异常的Chiari畸形和脊髓空洞症:57例经验报告
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3
Central or Axial Atlantoaxial Dislocation as a Cause of Cervical Myelopathy: A Report of Outcome of 5 Cases Treated by Atlantoaxial Stabilization.
中央型或轴性寰枢椎脱位作为颈髓病的病因:5例经寰枢椎稳定术治疗的结果报告
World Neurosurg. 2019 Jan;121:e908-e916. doi: 10.1016/j.wneu.2018.10.009. Epub 2018 Oct 10.
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Atlantoaxial instability associated with pan cervical vertebral fusion: Report on management of 4 cases.寰枢椎不稳合并全颈椎融合:4例治疗报告
Neurol India. 2018 Jan-Feb;66(1):147-150. doi: 10.4103/0028-3886.222853.
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World Neurosurg. 2017 Mar;99:164-170. doi: 10.1016/j.wneu.2016.11.093. Epub 2016 Nov 24.
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