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并发于脑血管造影术的颈椎脊髓病。病例报告及文献复习。

Cervical myelopathy complicating cerebral angiography. Report of a case and review of the literature.

作者信息

Ramirez-Lassepas M, McClelland R R, Snyder B D, Marsh D G

出版信息

Neurology. 1977 Sep;27(9):834-7. doi: 10.1212/wnl.27.9.834.

Abstract

Transverse cervical myelopathy, at C-6 level, followed injection of Renografin-60 into the right thyrocervical trunk during cerebral angiography. Review of the literature yielded only two cases in which attempted posterior fossa angiography resulted in cervical myelopathy. Two more cases were found. In one, cervical myelopathy occurred during aortography in a patient with coractation of the aorta, and in the other it followed mediastinal angiography. Summation of anoxia, hemorrhage, and cellular toxicity is responsible for spinal cord necrosis following arterial injection of contrast material.

摘要

在脑血管造影期间,于C-6水平出现横贯性颈髓病,这是在向右侧甲状腺颈干注射泛影葡胺-60之后发生的。文献回顾仅发现两例试图进行后颅窝血管造影导致颈髓病的病例。又发现了另外两例。其中一例,一名患有主动脉缩窄的患者在主动脉造影期间发生颈髓病,另一例在纵隔血管造影后发生。缺氧、出血和细胞毒性共同作用导致动脉注射造影剂后脊髓坏死。

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