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一名61岁男性农民的横贯性脊髓炎延迟诊断病例报告。

A case report on the delayed diagnosis of transverse myelitis in a 61-year-old male farmer.

作者信息

Cox Jocelyn, Russo Alena

机构信息

Canadian Memorial Chiropractic College.

Private practice.

出版信息

J Can Chiropr Assoc. 2020 Aug;64(2):131-138.

Abstract

Transverse myelitis is a neurological disorder that results in acute focal inflammation of the spinal cord. It can present with a varied spectrum of neurological signs and symptoms which can make diagnosing a challenge, and delayed diagnosis a frequent complication. This is a case of a 61-year-old male who presented with back pain complicated by neurological symptoms that should have warranted immediate referral to a neurologist. It took approximately five weeks from the onset of his symptoms to be referred to a neurologist, and a further four months to the diagnosis of transverse myelitis. The authors hope to stress the importance of thorough evaluations including neurological exams when new symptoms present and to emphasize regular interprofessional collaboration, that may have prevented the delay in diagnosis seen in this case.

摘要

横贯性脊髓炎是一种导致脊髓急性局灶性炎症的神经系统疾病。它可表现出各种各样的神经体征和症状,这使得诊断具有挑战性,延迟诊断成为常见的并发症。这是一例61岁男性患者,其表现为背痛并伴有神经症状,这本应促使立即转诊至神经科医生处。从症状出现到转诊至神经科医生大约花了五周时间,又过了四个月才诊断出横贯性脊髓炎。作者希望强调当出现新症状时进行全面评估(包括神经检查)的重要性,并强调定期的跨专业协作,这可能会避免本例中出现的诊断延迟情况。

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A culture of caring: the essence of healthcare interprofessional collaboration.关爱文化:医疗保健跨专业合作的精髓。
J Interprof Care. 2020 May-Jun;34(3):324-331. doi: 10.1080/13561820.2019.1641476. Epub 2019 Aug 8.
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Guillain-Barré syndrome, transverse myelitis and infectious diseases.格林-巴利综合征、横断性脊髓炎和传染病。
Cell Mol Immunol. 2018 Jun;15(6):547-562. doi: 10.1038/cmi.2017.142. Epub 2018 Jan 29.
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Transverse myelitis.横贯性脊髓炎。
Neurol Clin. 2013 Feb;31(1):79-138. doi: 10.1016/j.ncl.2012.09.008.
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Rehabilitation in transverse myelitis.横贯性脊髓炎的康复治疗
Continuum (Minneap Minn). 2011 Aug;17(4):816-30. doi: 10.1212/01.CON.0000403797.10612.d3.
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Clinical practice. Transverse myelitis.临床实践。横贯性脊髓炎。
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