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伴有壁内血栓的未破裂动脉瘤是脊髓梗死的罕见病因:一例报告

Unruptured aneurysm with intramural thrombus is an unusual cause of spinal cord infarction: a case report.

作者信息

Mandour Jihane El, Sahli Hind, Amsiguine Najoua, Menaoui Ouadie El, El Fenni Jamal, Edderai Meryem

机构信息

Radiology Department, Mohammed V Military Hospital, Rabat, Morocco.

出版信息

Radiol Case Rep. 2021 Dec 28;17(3):706-709. doi: 10.1016/j.radcr.2021.11.068. eCollection 2022 Mar.

Abstract

Infarction of the spinal cord is a rather rare occurrence. Paraparesis or quadriparesis with vibration and proprioceptive senses sparing are symptoms of anterior cord syndrome. Ischemic anterior cord syndrome can result from an obstruction of the anterior spinal artery or the Adamkiewicz Artery. Spinal infarction due to abdominal aortic aneurysm with intramural thrombosis is an extremely rare condition, because of its rarity, it presents a diagnostic difficulty to clinicians, which may result in an inaccurate or delayed diagnosis. We present a case of spontaneous spinal cord infarction due to a previously asymptomatic aortic aneurysm with intraluminal thrombus, with a review of the literature.

摘要

脊髓梗死是一种相当罕见的情况。双下肢轻瘫或四肢轻瘫伴振动觉和本体感觉保留是脊髓前动脉综合征的症状。缺血性脊髓前动脉综合征可由脊髓前动脉或Adamkiewicz动脉阻塞引起。腹主动脉瘤伴壁内血栓形成导致的脊髓梗死是一种极其罕见的病症,因其罕见性,给临床医生带来诊断困难,可能导致诊断不准确或延迟。我们报告一例因先前无症状的主动脉瘤伴管腔内血栓形成导致的自发性脊髓梗死病例,并对文献进行综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ea/8718812/4067a1f56da0/gr1.jpg

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