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病例报告:伴有乳房异常和马蹄内翻足的I型脊髓纵裂

Case report: Type I diastematomyelia with breast abnormalities and clubfoot.

作者信息

Hao Shenshen, Yue Zenan, Yu Xin, Gao Zhenfu, Li Hongke, Liu Shuai, Dong Shengli

机构信息

Department of Spine and Bone Oncology, General Hospital of Pingmei Shenma Medical Group, Pingdingshan, China.

Theoretical Research Office, Party School of the CPC Pingdingshan Municipal Committee, Pingdingshan, China.

出版信息

Front Surg. 2022 Sep 7;9:981069. doi: 10.3389/fsurg.2022.981069. eCollection 2022.

Abstract

BACKGROUND

Diastematomyelia is a rare congenital spinal cord malformation, classified as type I or type II, with over half of the cases considered type I. However, type I diastematomyelia with breast abnormality and clubfoot is extremely rare in clinical practice.

CASE PRESENTATION

We admitted an 18-year-old female patient with type I diastematomyelia with breast abnormalities and clubfoot. She was underwent surgical treatment. After the surgical removal of the pressure-causing bone spur, the weakness of the right lower limb was significantly relieved. During the 22-month follow-up, there was no complication and no recurrence.

CONCLUSION

Surgical removal of the pressure-causing bone spur can relieve symptoms in the lower limbs. However, further research is warranted to explore the breast abnormalities in patients with diastematomyelia.

摘要

背景

脊髓纵裂是一种罕见的先天性脊髓畸形,分为I型或II型,超过半数病例为I型。然而,伴有乳房异常和马蹄内翻足的I型脊髓纵裂在临床实践中极为罕见。

病例介绍

我们收治了一名患有伴有乳房异常和马蹄内翻足的I型脊髓纵裂的18岁女性患者。她接受了手术治疗。手术切除引起压迫的骨赘后,右下肢无力症状明显缓解。在22个月的随访期间,未出现并发症且无复发。

结论

手术切除引起压迫的骨赘可缓解下肢症状。然而,有必要进一步研究以探索脊髓纵裂患者的乳房异常情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d77/9491464/6a88179796b1/fsurg-09-981069-g001.jpg

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