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病例报告：一名年轻男性下肢无力的鉴别诊断——考虑福-阿二氏综合征。

Case Report: Differential Diagnosis of Lower Extremity Weakness in a Young Male - Consider Foix Alajouanine Syndrome.

作者信息

Siani Avi, Garrett Alexander, Thomas Natasha

机构信息

Harbor-UCLA Medical Center, Department of Emergency Medicine, Torrance, California.

出版信息

Clin Pract Cases Emerg Med. 2022 Feb;6(1):13-16. doi: 10.5811/cpcem.2021.8.52660.

DOI:10.5811/cpcem.2021.8.52660
PMID:35226839
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8885224/
Abstract

INTRODUCTION

There is a limited list of emergent spinal cord pathology that must be considered in patients with focal neurological deficits in the emergency department. Identification of these conditions requires a detailed history and neurological exam and may also require advanced testing and imaging.

CASE REPORT

Here we present the case of a patient with a rare arteriovenous malformation of the spinal cord vessels causing congestive myelopathy (Foix-Alajouanine syndrome) that presented as a clinical mimic of spinal cord compression.

CONCLUSION

Emergency physicians should be aware of Foix-Alajouanine syndrome, as its workup and management differ from more common pathologies that may present similarly.

摘要

引言

在急诊科，对于有局灶性神经功能缺损的患者，必须考虑的急性脊髓病变种类有限。识别这些病症需要详细的病史和神经学检查，可能还需要先进的检测和影像学检查。

病例报告

在此，我们报告一例罕见的脊髓血管动静脉畸形导致充血性脊髓病（福-阿二氏综合征）的病例，该病例临床表现酷似脊髓压迫症。

结论

急诊医生应了解福-阿二氏综合征，因为其检查和治疗与可能有相似表现的更常见病症不同。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fff/8885224/9550295bd069/CPCEM-6-13-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fff/8885224/526a19187f3f/CPCEM-6-13-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fff/8885224/9550295bd069/CPCEM-6-13-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fff/8885224/526a19187f3f/CPCEM-6-13-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fff/8885224/9550295bd069/CPCEM-6-13-g002.jpg

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J Neurointerv Surg. 2017 Jun;9(6):607-610. doi: 10.1136/neurintsurg-2016-012430. Epub 2016 Jun 3.
2
Foix-alajouanine syndrome presenting as acute cauda equina syndrome: a case report.Foix-Alajouanine 综合征表现为急性马尾综合征：一例报告。
Global Spine J. 2014 Dec;4(4):269-72. doi: 10.1055/s-0034-1375561. Epub 2014 May 22.
3
Congestive myelopathy (Foix-Alajouanine Syndrome) due to intradural arteriovenous fistula of the filum terminale fed by anterior spinal artery: Case report and review of literature.
终丝硬膜内动静脉瘘由脊髓前动脉供血导致的充血性脊髓病（福-阿二氏综合征）：病例报告及文献复习
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Endovascular management of spinal vascular malformations.脊髓血管畸形的血管内治疗。
Neurosurg Rev. 2010 Jan;33(1):1-9. doi: 10.1007/s10143-009-0204-6.
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Foix-Alajouanine syndrome: what is it?福-阿二氏综合征：它是什么？
J Neurosurg. 2009 Nov;111(5):900-1. doi: 10.3171/2008.9.JNS00240.
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