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髓核组织栓塞性阻塞髓动脉后上行性四肢瘫(作者译)

[Ascending tetraplegia after embolic occlusion of medullary arteries by nucleus pulposus tissue (author's transl)].

作者信息

Schairer E, von Albert H H

出版信息

MMW Munch Med Wochenschr. 1977 Nov 4;119(44):1433-6.

PMID:412085
Abstract

A 19 year old woman developed an acute ascending tetraplegia, for which no reason could be found. 9 months later the patient died from a septicemia starting from a decubitus. Postmortem examination showed an occlusion of a medullary artery by emboli of nucleus pulposus tissue. A survey is given of similar cases reported in the literature and the cause of the embolism discussed. It seems most probable that invasion of the misshapen vessel by tissue from a pathological nucleus pulposus was responsible.

摘要

一名19岁女性患上急性上行性四肢瘫痪,病因不明。9个月后,患者因褥疮引发败血症死亡。尸检显示髓质动脉被髓核组织栓子阻塞。本文综述了文献中报道的类似病例,并讨论了栓塞的原因。最有可能的原因似乎是病理性髓核组织侵入了畸形血管。

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