Merli G J, Staas W E
Arch Phys Med Rehabil. 1985 May;66(5):325-8.
The syndrome of acute transverse myelopathy (ATM) has been described in the medical literature for decades. Despite the clinical descriptions, ATM continues to be poorly understood etiologically. Current thinking associates the syndrome with viral infections, multiple sclerosis, vascular disease, and malignancy. Three cases of ATM seen since 1972 are reported. All three patients described unusual stressful body posturing immediately preceding the onset of neurologic deficit. This presentation focuses on vascular compromise associated with stressful body positioning as another possible etiologic factor for ATM.
急性横贯性脊髓病(ATM)综合征在医学文献中已有数十年的描述。尽管有临床描述,但ATM的病因仍知之甚少。目前的观点认为该综合征与病毒感染、多发性硬化症、血管疾病和恶性肿瘤有关。本文报告了自1972年以来所见的3例ATM病例。所有3例患者均描述在神经功能缺损发作前立即出现异常的应激性身体姿势。本报告重点关注与应激性身体姿势相关的血管受压,这是ATM的另一个可能病因。