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髓内囊尾蚴病

Intramedullary cysticercosis.

作者信息

Holtzman R N, Hughes J E, Sachdev R K, Jarenwattananon A

出版信息

Surg Neurol. 1986 Aug;26(2):187-91. doi: 10.1016/0090-3019(86)90375-7.

DOI:10.1016/0090-3019(86)90375-7
PMID:3726745
Abstract

In 1976 a 28-year-old Ecuadoran male suffered paraparesis after a kick to his back. Iophendylate myelography was followed by thoracic laminectomy with incomplete resolution of the paraparesis. One year later, worsening of the paraparesis was managed by further thoracic laminectomy without improvement. In 1978 a spinal cord stimulator was implanted via low thoracic laminectomy as a measure to counter his spasticity. In 1984 metrizamide myelography and computed tomography scanning were performed for increasing spastic paraparesis that disclosed an intramedullary lesion at the T-4 level. Exploration and myelotomy revealed an intramedullary cysticercal cyst, which was totally removed.

摘要

1976年,一名28岁的厄瓜多尔男性在背部被踢后出现双下肢轻瘫。碘苯酯脊髓造影后进行了胸椎椎板切除术,但双下肢轻瘫未完全缓解。一年后,双下肢轻瘫加重,再次进行胸椎椎板切除术,症状仍未改善。1978年,通过低位胸椎椎板切除术植入脊髓刺激器,以缓解其痉挛。1984年,因痉挛性双下肢轻瘫加重,进行了甲泛葡胺脊髓造影和计算机断层扫描,结果显示T-4水平存在髓内病变。探查和脊髓切开术发现一个髓内囊尾蚴囊肿,并将其完全切除。

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