Adamkiewicz 动脉破裂性动脉瘤是脊髓损伤的罕见原因。
Ruptured aneurysm of the artery of Adamkiewicz as a rare cause of spinal cord injury.
机构信息
Department of Physical Medicine and Rehabilitation, University of Kansas Medical Center, Kansas City, Kansas, USA
Department of Radiology, University of Missouri, Kansas City, Missouri, USA.
出版信息
BMJ Case Rep. 2022 Aug 25;15(8):e250840. doi: 10.1136/bcr-2022-250840.
Abstract
This case report describes a patient who presented with low back pain, headache and urinary retention. He developed altered mental status with right lower extremity hemiparesis. He was subsequently found to have subarachnoid haemorrhage and was ultimately diagnosed with a ruptured aneurysm of the artery of Adamkiewicz. At 11-week follow-up, he had made a significant recovery and was functioning at a modified independent level. This case report explores previous cases of ruptured artery of Adamkiewicz aneurysms as a rare cause of spinal cord injury, and discusses management and recovery for these injuries.
摘要
本病例报告描述了一位出现腰痛、头痛和尿潴留的患者。他表现出精神状态改变伴右下肢偏瘫。随后发现他患有蛛网膜下腔出血，最终被诊断为 Adamkiewicz 动脉破裂性动脉瘤。在 11 周的随访中，他取得了显著的康复，功能达到改良独立水平。本病例报告探讨了之前 Adamkiewicz 动脉破裂性动脉瘤破裂作为脊髓损伤罕见病因的病例，并讨论了这些损伤的处理和康复。
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