Abraham J, Paterson A, Bothra M, Mofti A B, Taylor G W
Paraplegia. 1987 Feb;25(1):44-9. doi: 10.1038/sc.1987.12.
A case of traumatic paraplegia, with almost complete motor and sensory loss up to the umbilicus, who had an operation for post traumatic arachnoiditis and diagnosed as having recurrence of arachnoiditis and traumatic syringomyelia and treated by a pedicled omental onlay graft to the spinal cord, is described. The patient made a remarkable recovery and 1 year after surgery he continues to maintain excellent progress. He is now able to walk with support and is completely independent. It is suggested that chronic paraplegics should be assessed for possible arachnoiditis and traumatic syringomyelia and if detected an omental transposition be considered as one means of increasing rehabilitation potential.
本文描述了一例创伤性截瘫患者，其脐部以下几乎完全丧失运动和感觉功能。该患者因创伤后蛛网膜炎接受手术，术后被诊断为蛛网膜炎复发及创伤性脊髓空洞症，并采用带蒂大网膜覆盖脊髓进行治疗。患者恢复显著，术后1年仍持续保持良好进展。他现在能够在辅助下行走，且完全独立。建议对慢性截瘫患者评估是否可能存在蛛网膜炎和创伤性脊髓空洞症，若检测到则应考虑将大网膜转位作为提高康复潜力的一种方法。
