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痉挛性张力障碍型脑瘫患者的迟发性进行性神经根脊髓病

Late-onset progressive radiculomyelopathy in patients with cervical athetoid-dystonic cerebral palsy.

作者信息

Kidron D, Steiner I, Melamed E

出版信息

Eur Neurol. 1987;27(3):164-6. doi: 10.1159/000116150.

DOI:10.1159/000116150
PMID:3622589
Abstract

Three patients with severe athetoid-dystonic type of cerebral palsy involving the neck musculature developed in their fourth to fifth decade progressive cervical radiculomyelopathy associated with vertebral spondylarthrotic compressive lesions in addition to their long-standing neurological syndrome. It is likely that the late-onset myelopathy is linked to continuous torsion, compression and 'wear and tear' of the cervical spinal cord, induced by the involuntary movements. In 2 patients decompressive cervical spinal surgery was ineffective, suggesting irreversible damage.

摘要

三名患有严重手足徐动 - 张力障碍型脑瘫且累及颈部肌肉组织的患者,在其四十到五十岁时,除了长期存在的神经综合征外,还出现了与脊椎关节病性压迫性病变相关的进行性颈神经根脊髓病。迟发性脊髓病很可能与非自主运动引起的颈脊髓持续扭转、压迫和“磨损”有关。在2例患者中,颈椎减压手术无效,提示存在不可逆损伤。

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Late-onset progressive radiculomyelopathy in patients with cervical athetoid-dystonic cerebral palsy.痉挛性张力障碍型脑瘫患者的迟发性进行性神经根脊髓病
Eur Neurol. 1987;27(3):164-6. doi: 10.1159/000116150.
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Medicine (Baltimore). 2016 Sep;95(39):e5033. doi: 10.1097/MD.0000000000005033.

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Factors Affecting Postoperative Complications and Outcomes of Cervical Spondylotic Myelopathy with Cerebral Palsy : A Retrospective Analysis.影响脑瘫型脊髓型颈椎病术后并发症及预后的因素:一项回顾性分析
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Surgical Outcomes of Cervical Myelopathy in Patients with Athetoid Cerebral Palsy: A 5-Year Follow-Up.手足徐动型脑性瘫痪患者颈髓病的手术疗效:5年随访
Asian Spine J. 2017 Dec;11(6):928-934. doi: 10.4184/asj.2017.11.6.928. Epub 2017 Dec 7.
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