胸椎腹侧脊髓疝伴进行性脊髓病——一例报告并文献复习
Thoracic ventral spinal cord herniation with progressive myelopathy - A case report and review of the literature.
作者信息
Wilson Taylor Anne, Kumar Ramachandran Pillai Promod, Omosor Emmanuel
机构信息
Department of Neurosurgery, Loma Linda University Medical Center, Loma Linda, California, United States.
Department of Neurosurgery, School of Medicine, Loma Linda University School of Medicine, Loma Linda, California, United States.
出版信息
Surg Neurol Int. 2021 Aug 3;12:382. doi: 10.25259/SNI_496_2021. eCollection 2021.
BACKGROUND
Idiopathic spinal cord herniation (ISCH) is a rare, underrecognized, and often misdiagnosed entity of unclear pathogenesis that typically presents as a slowly progressive thoracic myelopathy. There are less than 200 such cases reported in the literature. ISCH diagnosis and treatment are often delayed contributing to greater fixed neurological deficits, often leading to costly, unnecessary imaging studies, and inappropriate surgery.
CASE DESCRIPTION
Here, a 48-year-old female presented with trauma-induced ISCH characterized by gradually worsening lower extremity myelopathy.
CONCLUSION
Idiopathic spinal cord herniation (ISCH) is rare, often underdiagnosed posttraumatic myelopathy that, when accurately diagnosed and treated, can result in good outcomes.
背景
特发性脊髓疝（ISCH）是一种罕见、未被充分认识且常被误诊的疾病，其发病机制不明，通常表现为缓慢进展的胸段脊髓病。文献报道的此类病例不足200例。ISCH的诊断和治疗常常延迟，导致更严重的固定性神经功能缺损，常引发昂贵、不必要的影像学检查及不恰当的手术。
病例描述
在此，一名48岁女性因创伤性ISCH就诊，其特征为下肢脊髓病逐渐加重。
结论
特发性脊髓疝（ISCH）是罕见的、创伤后脊髓病常被漏诊的疾病，若能准确诊断并治疗，可取得良好预后。
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