强直性脊柱炎中硬脊膜内囊肿伴马尾神经受压
Intradural cyst with compression of the cauda equina in ankylosing spondylitis.
作者信息
Byrne E, McNeill P, Gilford E, Wright C
出版信息
Surg Neurol. 1985 Feb;23(2):162-4. doi: 10.1016/0090-3019(85)90336-2.
A cauda equina syndrome complicating long-standing ankylosing spondylitis was found to be due to a large multiloculated cyst. This differed from posterior dural diverticula identified in similar cases in that the cyst filled the lumbar canal with erosion of the upper lumbar vertebral bodies and chronic inflammatory changes were evident in the cyst wall. Cauda equina compromise in ankylosing spondylitis has several possible mechanisms including fibrosis following arachnoiditis, root damage by dural diverticula, and direct compression by arachnoid cyst.
发现一例马尾综合征并发长期强直性脊柱炎，病因是一个巨大的多房性囊肿。这与类似病例中发现的硬脊膜后憩室不同，该囊肿充满腰椎管，伴有上位腰椎椎体侵蚀，囊肿壁有明显的慢性炎症改变。强直性脊柱炎导致马尾神经受压有几种可能机制，包括蛛网膜炎后的纤维化、硬脊膜憩室对神经根的损害以及蛛网膜囊肿的直接压迫。
Zotero 插件