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[脊髓和马尾肿瘤中的脑脊液动力学]

[Cerebrospinal fluid dynamics in tumors of the spinal cord and cauda equina].

作者信息

Okladnikov G I

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1986;86(7):1051-4.

PMID:3765992
Abstract

Changes in the cerebral spinal fluid (CSF) flow were analyzed in 196 patients with spinal cord tumors of differing localization and histological structure. In 76.5% of the cases there were different variants of CSF flow disorders, namely, complete block in 33.7% and partial block in 42.8% of the cases. The nature of CSF flow disorders depended on the size of tumors, their histological structure and the relationship of the tumor to the cross-section area and the surface of the spinal cord. Yet, in 23.5% of the cases the subarachnoidal space was patent despite marked spinal neurological symptomatology. This fact shows that the complete patency of the subarachnoidal space does not rule out spinal cord tumor, which necessitates the conduction of comprehensive clinical examination in suspected cases.

摘要

对196例不同部位和组织学结构的脊髓肿瘤患者的脑脊液(CSF)流动变化进行了分析。在76.5%的病例中存在不同类型的脑脊液流动障碍,即33.7%的病例为完全阻塞,42.8%的病例为部分阻塞。脑脊液流动障碍的性质取决于肿瘤的大小、组织学结构以及肿瘤与脊髓横截面积和表面的关系。然而,在23.5%的病例中,尽管有明显的脊髓神经症状,但蛛网膜下腔是通畅的。这一事实表明,蛛网膜下腔完全通畅并不排除脊髓肿瘤,这就需要对疑似病例进行全面的临床检查。

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