脊髓空洞症：75例临床回顾
Syringomyelia: a clinical review of 75 cases.
作者信息
McIlroy W J, Richardson J C
出版信息
Can Med Assoc J. 1965 Oct 2;93(14):731-4.
Records of 75 patients with syringomyelia are reviewed. Their clinical course fell into one of three main groups: (1) those with a long history of a steadily progressive disability; (2) those with a long history but little or no progression of their disability; and (3) those with a short, fairly rapid downhill course.On the basis of this study, x-ray therapy seems to be of little value in the treatment of this disease. Surgical treatment on the other hand appears to offer more hope for a selected group of patients who are progressing at the time of examination. In this group surgery is recommended (1) in the presence of a foramen magnum anomaly with signs and symptoms related to this deformity; (2) in the presence of a distended cord with pain and evidence of a spinal fluid block; and (3) when the possibility of an ependymoma exists.
回顾了75例脊髓空洞症患者的记录。他们的临床病程分为三个主要组之一：（1）有长期稳定进展性残疾病史的患者；（2）有长期病史但残疾进展很少或没有进展的患者；（3）病程短且病情迅速恶化的患者。基于这项研究，X线治疗在这种疾病的治疗中似乎价值不大。另一方面，手术治疗似乎为检查时病情仍在进展的特定患者群体提供了更多希望。在这组患者中，建议进行手术：（1）存在与这种畸形相关的体征和症状的枕骨大孔异常时；（2）存在脊髓扩张伴有疼痛和脑脊液梗阻证据时；（3）存在室管膜瘤的可能性时。
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