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创伤后马尾神经钙化:一例报告

Post-traumatic cauda equina nerve calcification: A case report.

作者信息

Liu Yan-Dong, Deng Qiang, Li Jun-Jie, Yang Hai-Yun, Han Xian-Fu, Zhang Kai-Dong, Peng Ran-Dong, Xiang Qian-Qian

机构信息

Graduate School, Gansu University of Traditional Chinese Medicine, Lanzhou 730000, Gansu Province, China.

Spinal Disease Diagnosis and Treatment Center, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, Gansu Province, China.

出版信息

World J Clin Cases. 2023 Feb 26;11(6):1356-1364. doi: 10.12998/wjcc.v11.i6.1356.

Abstract

BACKGROUND

Post-traumatic cauda equina nerve calcification is extremely rare in clinical practice, and its etiology, pathogenesis, treatment and prognosis are unclear. There are few studies and reports on Post-traumatic cauda equina nerve calcification, and this review reports a case of Post-traumatic cauda equina nerve calcification for reference.

CASE SUMMARY

A 52-year-old patient presented to our hospital with a history of lumbar spinal stenosis and a lumbar vertebral fracture caused by trauma. The patient's right lower limb had weakness in hip flexion, knee extension and plantarflexion with muscle strength grade 3, right ankle dorsiflexion and thumb dorsiflexion with muscle strength grade 0. The patient's skin sensation below the right knee plane disappeared. The patient's Computed tomography (CT) data showed signs of cauda equina nerve calcification and the terminal filaments in the plane of the third to fifth lumbar vertebrae. After treatment the patient's symptoms were slightly relieved.

CONCLUSION

We provide an extremely rare case of Post-traumatic cauda equina nerve calcification and offer a conservative treatment plan. However, the etiology, mechanism and treatment of Post-traumatic cauda equina nerve calcification are still unclear. This requires scholars to conduct more research and exploration in this area.

摘要

背景

创伤后马尾神经钙化在临床实践中极为罕见,其病因、发病机制、治疗方法及预后尚不清楚。关于创伤后马尾神经钙化的研究和报道较少,本文报道1例创伤后马尾神经钙化病例以供参考。

病例摘要

1例52岁患者因腰椎管狭窄症及外伤致腰椎骨折入住我院。患者右下肢髋屈曲、膝伸展及跖屈无力,肌力3级,右踝背屈及拇背屈肌力0级。患者右膝平面以下皮肤感觉消失。患者的计算机断层扫描(CT)数据显示马尾神经钙化及第三至五腰椎平面终丝钙化迹象。经治疗后患者症状稍有缓解。

结论

本文报道了1例极为罕见的创伤后马尾神经钙化病例,并提供了保守治疗方案。然而,创伤后马尾神经钙化的病因、机制及治疗方法仍不明确,需要学者们在该领域进行更多的研究和探索。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c7b/10013110/9853bdf4cd04/WJCC-11-1356-g001.jpg

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