Griffiths I R
J Neurol Neurosurg Psychiatry. 1972 Jun;35(3):403-13. doi: 10.1136/jnnp.35.3.403.
The pathological changes in 23 cord lesions caused by disc protrusion are described. It is suggested that three broad classifications of damage can be found: (1) compressive change; (2) malacia; and (3) diffuse demyelination. The distribution of damage, within the segment, was different in each type of change as were the glial and vascular reactions. It is suggested that vascular factors play a major part in the pathology of the malacic and demyelinating lesions and may be of secondary importance in compressive lesions.
本文描述了23例椎间盘突出所致脊髓损伤的病理变化。研究表明,可发现三种广泛的损伤类型:(1)压迫性改变;(2)软化;(3)弥漫性脱髓鞘。在每个节段内,不同类型损伤的损害分布不同,神经胶质和血管反应也不同。研究表明,血管因素在软化性和脱髓鞘性病变的病理过程中起主要作用,而在压迫性病变中可能起次要作用。