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一名 41 岁男性 COVID-19 患者发生脊髓梗死。

Spinal cord infarction in a 41-year-old male patient with COVID-19.

机构信息

Neuroradiology Department, Hamad Medical Corporation, Doha, Qatar.

Weill Cornell Medicine, Qatar.

出版信息

Neuroradiol J. 2021 Jun;34(3):245-248. doi: 10.1177/1971400921988925. Epub 2021 Jan 22.

Abstract

The severe acute respiratory syndrome coronavirus disease 2019 (COVID-19) pandemic, became rapidly recognised by variable phonotypic expressions that involve most major body organs. Neurological complications of severe acute respiratory syndrome coronavirus disease are increasingly encountered in patients with COVID-19 infection, more frequently in patients with severe infection, and develop as a consequence of the neurotropic potential of this virus, secondary cytokine storm and acquired syndrome of COVID-19 coagulopathy. Spinal cord involvement after COVID-19 more commonly includes infectious transverse myelitis, para and post infection myelopathy and, rarely, spinal cord ischaemia related to increased coagulopathy with thromboembolic consequences. We herein report a COVID-19-positive patient with increased coagulopathy and vertebral artery thrombosis leading to posterior circulation and subsequent spinal cord infarction.

摘要

2019 年冠状病毒病(COVID-19)大流行迅速被认识到,涉及大多数主要身体器官的各种表型表达。严重急性呼吸综合征冠状病毒病的神经系统并发症在 COVID-19 感染患者中越来越常见,在严重感染患者中更常见,是由这种病毒的嗜神经性、继发细胞因子风暴和获得性 COVID-19 凝血障碍综合征引起的。COVID-19 后脊髓受累更常见的包括感染性横贯性脊髓炎、副和后感染性脊髓病,很少见的是与凝血功能亢进相关的脊髓缺血,伴有血栓栓塞后果。在此,我们报告了一例 COVID-19 阳性患者,伴有凝血功能亢进和椎动脉血栓形成,导致后循环和随后的脊髓梗死。

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Cervical Cord Infarction Caused by Dissection of the Intracranial Segment of the Vertebral Artery.椎动脉颅内段夹层导致的颈髓梗死
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Continuum (Minneap Minn). 2018 Apr;24(2, Spinal Cord Disorders):407-426. doi: 10.1212/CON.0000000000000595.
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Spinal Cord Infarcts: Risk Factors, Management, and Prognosis.脊髓梗死:危险因素、管理与预后
Curr Treat Options Neurol. 2017 Aug;19(8):28. doi: 10.1007/s11940-017-0464-3.
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Long-term outcome of acute spinal cord ischemia syndrome.急性脊髓缺血综合征的长期预后
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