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[脊髓蛛网膜下腔出血。关于2例马尾神经肿瘤]

[Spinal subarachnoid hemorrhage. Apropos of 2 cases of cauda equina tumors].

作者信息

Vernet O, Alaïli R, de Tribolet N

出版信息

Schweiz Med Wochenschr. 1986 Jun 7;116(23):781-5.

PMID:3726510
Abstract

2 cases of spinal subarachnoid hemorrhage due to tumors of the cauda equina are reported. In both cases the existence of cephalic meningeal signs first suggested an intracranial pathology and diagnostic procedures were performed in this direction. Only when these examinations were negative was a lesion of the cauda equina suspected. The lesion was located by myelogram and was diagnosed, after surgical removal, as a schwannoma and an ependymoma. The syndrome of spinal subarachnoid hemorrhage involves spinal symptoms and signs resembling violent lumbar and radicular pain with a hemorrhagic cerebrospinal fluid, in association with symptoms of intracranial origin such as headache and meningism. Lumbar and radicular pain preceding the headaches, and an unaltered level of consciousness, point to the rare syndrome of spinal subarachnoid hemorrhage.

摘要

报告了2例因马尾肿瘤导致的脊髓蛛网膜下腔出血。在这两例中,起初出现的头部脑膜体征提示存在颅内病变,并据此进行了诊断检查。只有当这些检查结果为阴性时,才怀疑是马尾病变。通过脊髓造影确定了病变位置,手术切除后诊断为神经鞘瘤和室管膜瘤。脊髓蛛网膜下腔出血综合征包括脊髓症状和体征,如剧烈的腰痛和神经根性疼痛,伴有血性脑脊液,同时伴有颅内源性症状,如头痛和脑膜刺激征。头痛之前出现的腰痛和神经根性疼痛,以及意识水平未改变,提示为罕见的脊髓蛛网膜下腔出血综合征。

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