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先天性颈椎管狭窄症表现为运动员短暂性四肢瘫。两例报告。

Congenital cervical stenosis presenting as transient quadriplegia in athletes. Report of two cases.

作者信息

Ladd A L, Scranton P E

出版信息

J Bone Joint Surg Am. 1986 Dec;68(9):1371-4.

PMID:3782208
Abstract

The cases of two patients in whom complete but transient quadriplegia developed after an injury that was incurred while playing football are presented. Both patients were found to have a congenitally narrow cervical vertebral canal. Critical stenosis resulting in the transient quadriplegia occurred after a presumed injury to a cervical disc. In our opinion, a myelogram should be made for patients with a history of transient quadriplegia, numbness, or a burning sensation down the back or the lower extremities, even if other radiographic studies are interpreted as negative. Patients who have stenosis of the cervical spine should be advised to discontinue participation in contact sports.

摘要

本文报告了两名患者的病例,他们在踢足球时受伤后出现了完全性但短暂性的四肢瘫痪。两名患者均被发现先天性颈椎管狭窄。在推测颈椎间盘受伤后,出现了导致短暂性四肢瘫痪的严重狭窄。我们认为,即使其他影像学检查结果为阴性,对于有短暂性四肢瘫痪、麻木或背部或下肢有烧灼感病史的患者,也应进行脊髓造影。颈椎狭窄的患者应被建议停止参加接触性运动。

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