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主动脉缩窄和脑积水所致截瘫。

Paraplegia caused by coarctation of the aorta and hydrocephalus.

作者信息

Chadduck W M, Cathey S L, Gearhart A T, Cavin L, Glasier C M

出版信息

Childs Nerv Syst. 1986;2(3):162-4. doi: 10.1007/BF00270849.

DOI:10.1007/BF00270849
PMID:3779675
Abstract

A patient with untreated coarctation of the aorta, as well as shunt-dependent hydrocephalus, developed paraplegia when shunt malfunction resulted in a cerebrospinal fluid pressure greater than 560 mm water. Improvement followed shunt revision. The unique combination of mechanisms involved in the decreased spinal cord perfusion pressure is discussed.

摘要

一名患有未经治疗的主动脉缩窄以及分流依赖型脑积水的患者,在分流装置发生故障导致脑脊液压力大于560毫米水柱时出现了截瘫。分流装置修复后病情有所改善。本文讨论了脊髓灌注压降低所涉及的独特机制组合。

相似文献

1
Paraplegia caused by coarctation of the aorta and hydrocephalus.主动脉缩窄和脑积水所致截瘫。
Childs Nerv Syst. 1986;2(3):162-4. doi: 10.1007/BF00270849.
2
Myelodysplasia: progressive paraplegia and scoliosis.
J Neurosurg Nurs. 1976 Jul;8(1):28-36.
3
Is paraplegia after repair of coarctation of the aorta due principally to distal hypotension during aortic cross-clamping?主动脉缩窄修复术后的截瘫主要是由于主动脉交叉钳夹期间远端低血压所致吗?
Surgery. 1985 Jan;97(1):2-7.
4
Paraplegia as an unusual manifestation of aortic coarctation.
Thorac Cardiovasc Surg. 2001 Jun;49(3):186-7. doi: 10.1055/s-2001-14285.
5
The anterior spinal artery collateral in coarctation of the aorta. A clinical angiographic correlation.
Arch Neurol. 1979 Apr;36(4):240-3. doi: 10.1001/archneur.1979.00500400094018.
6
[Haematomyelia with paraplegia following coarctation of the aorta (author's transl)].
J Neurol. 1974;207(1):53-62. doi: 10.1007/BF00312592.
7
Low-pressure shunt 'malfunction' following lumbar puncture in children with shunted obstructive hydrocephalus.分流性梗阻性脑积水患儿腰椎穿刺后低压分流“故障”
Pediatr Neurosurg. 1999 Mar;30(3):146-50. doi: 10.1159/000028783.
8
Spinal subarachnoid haemorrhage in patient with coarctation of aorta.主动脉缩窄患者的脊髓蛛网膜下腔出血。
Br Med J. 1967 Nov 4;4(5574):278-9. doi: 10.1136/bmj.4.5574.278.
9
Syrinx-fourth ventricle and lateral ventricle-peritoneal shunts for congenital hydrocephalus with syringobulbia and syringomyelia: case report.用于治疗伴有延髓空洞症和脊髓空洞症的先天性脑积水的第四脑室和侧脑室-腹腔分流术:病例报告
Surg Neurol. 1993 Sep;40(3):236-40. doi: 10.1016/0090-3019(93)90073-a.
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Unilateral amaurosis in a hydrocephalic child with an obstructed shunt. Case report.一名患有分流管阻塞的脑积水儿童出现单侧黑矇。病例报告。
J Neurosurg. 1971 Feb;34(2 Pt 1):236-40. doi: 10.3171/jns.1971.34.2part1.0236.

引用本文的文献

1
Myelopathy in adult aortic coarctation: Causes and caveats of an atypical presentation.成人主动脉缩窄性脊髓病:非典型表现的原因及注意事项
Indian J Radiol Imaging. 2016 Oct-Dec;26(4):451-454. doi: 10.4103/0971-3026.195775.
2
Spontaneous subarachnoid haemorrhage due to coarctation of aorta and intraspinal collaterals: a rare presentation.主动脉缩窄及脊髓内侧支循环导致的自发性蛛网膜下腔出血:一种罕见的表现。
Images Paediatr Cardiol. 2012 Oct;14(4):1-3.

本文引用的文献

1
The mechanism of paraplegia after temporary thoracic aortic occlusion and its relationship to spinal fluid pressure.暂时性胸主动脉阻断后截瘫的机制及其与脑脊液压力的关系。
Surgery. 1962 Mar;51:351-5.
2
Neurologic complications of aortic surgery.主动脉手术的神经系统并发症
Ann Surg. 1956 Oct;144(4):574-610. doi: 10.1097/00000658-195610000-00005.
3
Neurological complications following aortic surgery. Case reports and review of the literature.主动脉手术后的神经系统并发症。病例报告及文献综述。
Anaesthesia. 1983 Mar;38(3):230-6.
4
Is paraplegia after repair of coarctation of the aorta due principally to distal hypotension during aortic cross-clamping?主动脉缩窄修复术后的截瘫主要是由于主动脉交叉钳夹期间远端低血压所致吗?
Surgery. 1985 Jan;97(1):2-7.
5
Spinal cord compression and blood flow. I. The effect of raised cerebrospinal fluid pressure on spinal cord blood flow.脊髓压迫与血流。I. 脑脊液压力升高对脊髓血流的影响。
Neurology. 1978 Nov;28(11):1145-51. doi: 10.1212/wnl.28.11.1145.
6
The anterior spinal artery collateral in coarctation of the aorta. A clinical angiographic correlation.
Arch Neurol. 1979 Apr;36(4):240-3. doi: 10.1001/archneur.1979.00500400094018.