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[骨关节炎性假性椎体滑脱致马尾神经受压,伴有明显的神经功能缺损体征。静脉机制的可能作用]

[Compression of the cauda equina by osteoarthritic pseudo-spondylolisthesis, with overlying signs of deficit. The possible role of a venous mechanism].

作者信息

Meneses M S, Tadie M, Clavier E, Brissaud E, Creissard P

机构信息

Service de Neurochirurgie, C.H.U. de Rouen.

出版信息

Neurochirurgie. 1987;33(5):391-4.

PMID:3696360
Abstract

The authors report the case of a patient suffering from paraparesis where a venous pathology seemed to be responsible, and the literature is reviewed. A cauda-equina compression by L4/L5 arthrosic pseudo-spondylolisthesis caused troubles of the spinal cord venous drainage, seen at the myelography. There was a neurological deficit above the L4/L5 compression with a psoas and quadriceps deficit. After a L4/L5 laminectomy the neurological signs improved rapidly.

摘要

作者报告了一例疑似因静脉病变导致双下肢轻瘫的病例,并对相关文献进行了综述。L4/L5关节性假性椎体滑脱导致马尾神经受压,脊髓静脉引流出现问题,这在脊髓造影中可见。在L4/L5受压平面以上存在神经功能缺损,伴有腰大肌和股四头肌功能障碍。L4/L5椎板切除术后,神经症状迅速改善。

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