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伴有假性脑脊膜膨出的创伤性臂丛神经根撕脱:病例系列

Traumatic Brachial Plexus Root Avulsion With Pseudomeningocele: A Case Series.

作者信息

Sharma Praveen K, Ravipati Chakradhar, Pandian Vinoth, Subramonian Sakthi Ganesh, Rk Karpagam

机构信息

Department of Radiodiagnosis, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS) Saveetha University, Chennai, IND.

出版信息

Cureus. 2024 Mar 2;16(3):e55408. doi: 10.7759/cureus.55408. eCollection 2024 Mar.

Abstract

Traumatic avulsion pseudomeningocele of the brachial plexus is an uncommon and challenging condition with particular diagnostic and treatment challenges. This case series intends to investigate the unusual consequences of brachial plexus damage, emphasizing the significance of surgical procedures and rehabilitation strategies. Three cases of traumatic avulsion pseudomeningocele with medical histories, imaging studies, procedures, and recovery plans were carefully examined. The rehabilitation approaches and surgical procedures are outlined in detail. Each case had its own unique set of difficulties and complications. Nerve grafting and pseudomeningocele repair surgery were performed. The outcomes were evaluated based on neurological examination, range of motion, sensory recovery, and patient reports. Only a few patients showed discernible improvements in their quality of life, motor function, and discomfort. In this case series, we highlight the people with traumatic avulsion pseudomeningocele of the brachial plexus and recount their inspiring journeys. Surgical procedures and rehabilitation approaches have produced favorable outcomes regarding recovering functionality and enhancing patients' general well-being. These results highlight the value of interdisciplinary partnerships and individualized strategies in treating this uncommon illness. Further, more profound research and long-term follow-up are required regarding the condition and optimizing the treatment methods for this challenging clinical entity.

摘要

创伤性臂丛神经撕脱性假性脑脊膜膨出是一种罕见且具有挑战性的疾病,在诊断和治疗方面存在特殊困难。本病例系列旨在研究臂丛神经损伤的异常后果,强调手术程序和康复策略的重要性。仔细检查了3例创伤性臂丛神经撕脱性假性脑脊膜膨出病例,包括病史、影像学检查、手术过程和恢复计划。详细概述了康复方法和手术程序。每个病例都有其独特的困难和并发症。进行了神经移植和假性脑脊膜膨出修复手术。根据神经学检查、活动范围、感觉恢复和患者报告对结果进行评估。只有少数患者在生活质量、运动功能和疼痛方面有明显改善。在本病例系列中,我们重点介绍了患有创伤性臂丛神经撕脱性假性脑脊膜膨出的患者,并讲述了他们鼓舞人心的历程。手术程序和康复方法在恢复功能和提高患者总体健康方面取得了良好效果。这些结果凸显了跨学科合作和个性化策略在治疗这种罕见疾病中的价值。此外,对于这种疾病以及优化这种具有挑战性的临床病症的治疗方法,还需要更深入的研究和长期随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c3e/10985565/ed943f710fba/cureus-0016-00000055408-i01.jpg

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