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腹侧脊髓疝导致脊髓硬膜内血肿和蛛网膜下腔出血:一例报告

Ventral Spinal Cord Herniation Causing Spinal Intradural Hematoma and Subarachnoid Hemorrhage: A Case Report.

作者信息

Mehta Shyle H, Shah Kevin A, Werner Cassidy D, White Timothy G, Lo Sheng-Fu L

机构信息

Neurological Surgery, Northwell Health, Manhasset, USA.

出版信息

Cureus. 2022 Aug 24;14(8):e28349. doi: 10.7759/cureus.28349. eCollection 2022 Aug.

DOI:10.7759/cureus.28349
PMID:36168337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9506680/
Abstract

Ventral spinal cord herniation is a rare pathology, caused by a dural defect, that leads to progressive myelopathy. The true prevalence of ventral spinal cord herniation is unknown largely because of underdiagnosis due to its nonspecific symptoms. Though there are theories that attempt to describe how these dural defects are formed, the true causes of these defects are unknown. In this case report, we present a case of a 29-year-old female who had an idiopathic ventral spinal cord herniation causing an intradural hematoma and subarachnoid hemorrhage. This is the first reported case of spinal cord herniation causing hemorrhage.

摘要

腹侧脊髓疝是一种罕见的病理情况,由硬脊膜缺损引起,可导致进行性脊髓病。腹侧脊髓疝的真实患病率尚不清楚,主要是因为其症状不具特异性,容易漏诊。尽管有理论试图描述这些硬脊膜缺损是如何形成的,但这些缺损的真正原因尚不清楚。在本病例报告中,我们介绍了一名29岁女性的病例,她患有特发性腹侧脊髓疝,导致硬脊膜内血肿和蛛网膜下腔出血。这是首例报告的脊髓疝导致出血的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d043/9506680/9199e450e69e/cureus-0014-00000028349-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d043/9506680/37b714130ba1/cureus-0014-00000028349-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d043/9506680/46787394ce5b/cureus-0014-00000028349-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d043/9506680/9f8816a1dd59/cureus-0014-00000028349-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d043/9506680/178e4a4e41a8/cureus-0014-00000028349-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d043/9506680/31186adba0c0/cureus-0014-00000028349-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d043/9506680/9199e450e69e/cureus-0014-00000028349-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d043/9506680/37b714130ba1/cureus-0014-00000028349-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d043/9506680/46787394ce5b/cureus-0014-00000028349-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d043/9506680/9f8816a1dd59/cureus-0014-00000028349-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d043/9506680/178e4a4e41a8/cureus-0014-00000028349-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d043/9506680/31186adba0c0/cureus-0014-00000028349-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d043/9506680/9199e450e69e/cureus-0014-00000028349-i06.jpg

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本文引用的文献

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Duplication of Ventral Dura as a Cause of Ventral Herniation of Spinal Cord-A Report of Two Cases and Review of the Literature.硬脊膜腹侧重复作为脊髓腹侧疝的原因:两例报告并文献复习。
World Neurosurg. 2019 Jun;126:346-353. doi: 10.1016/j.wneu.2019.02.143. Epub 2019 Mar 6.
2
Spinal Hematomas: What a Radiologist Needs to Know.脊髓血肿:放射科医生需要了解的知识。
Radiographics. 2018 Sep-Oct;38(5):1516-1535. doi: 10.1148/rg.2018180099.
3
Idiopathic Spinal Subarachnoid Hemorrhage: A Case Report and Review of the Literature.特发性脊柱蛛网膜下腔出血:病例报告及文献复习。
Global Spine J. 2015 Oct;5(5):e59-64. doi: 10.1055/s-0035-1546416. Epub 2015 Apr 29.
4
Yield of spinal imaging in nonaneurysmal, nonperimesencephalic subarachnoid hemorrhage.非动脉瘤性、非间脑周围蛛网膜下腔出血的脊髓成像的产量。
Neurology. 2015 Mar 31;84(13):1337-40. doi: 10.1212/WNL.0000000000001423. Epub 2015 Feb 27.
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Ventral thoracic spinal cord herniation: a commonly misdiagnosed and treatable cause of myelopathy.胸段脊髓腹侧疝:一种常被误诊但可治疗的脊髓病病因。
Neuroradiol J. 2008 Oct 1;21(4):563-7. doi: 10.1177/197140090802100415.
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Atypical clinical presentation of idiophatic thoracic spinal cord herniation.特发性胸段脊髓疝的非典型临床表现。
Spine (Phila Pa 1976). 2008 Jun 15;33(14):E474-7. doi: 10.1097/BRS.0b013e318178e624.
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Spinal subarachnoid hematoma resulting from lumbar myelography.腰椎脊髓造影术导致的脊髓蛛网膜下腔血肿。
AJNR Am J Neuroradiol. 2007 Feb;28(2):220-1.
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Spontaneous spinal subarachnoid hemorrhage secondary to spinal aneurysms: diagnosis and treatment paradigm.脊髓动脉瘤继发自发性脊髓蛛网膜下腔出血:诊断与治疗模式
Neurosurgery. 2005 Dec;57(6):1127-31; discussion 1127-31. doi: 10.1227/01.neu.0000186010.34779.10.
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Case of idiopathic thoracic spinal cord herniation with a chronic history: a case report and review of the literature.
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