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以神经根压迫综合征为表现的腹主动脉瘤破裂

Ruptured abdominal aortic aneurysms presenting as radicular compression syndromes.

作者信息

Lodder J, Cheriex E, Oostenbroek R, Soeters P, Vreeling F

出版信息

J Neurol. 1982;227(2):121-4. doi: 10.1007/BF00313778.

DOI:10.1007/BF00313778
PMID:6180139
Abstract

Two patients are described: one with an aneurysm of the infrarenal aorta and common iliac artery that ruptured posteriorly into the iliac vein, the other with an aneurysm of the distal abdominal aorta that ruptured posteriorly into the iliopsoas muscle. Both patients had symptoms compatible with a radicular compression syndrome. Ruptured aneurysm of one of the major abdominal arteries should be considered in the differential diagnosis of affections of the lumbosacral neural outflow, because immediate operation can be life-saving.

摘要

本文描述了两名患者

一名患有肾下腹主动脉和髂总动脉瘤,该动脉瘤向后破裂进入髂静脉;另一名患有腹主动脉远端动脉瘤,该动脉瘤向后破裂进入髂腰肌。两名患者均有与神经根压迫综合征相符的症状。在腰骶神经传出通路病变的鉴别诊断中,应考虑主要腹主动脉之一的动脉瘤破裂,因为立即手术可能挽救生命。

相似文献

1
Ruptured abdominal aortic aneurysms presenting as radicular compression syndromes.以神经根压迫综合征为表现的腹主动脉瘤破裂
J Neurol. 1982;227(2):121-4. doi: 10.1007/BF00313778.
2
Lumbosacral radiculopathy secondary to abdominal aortic aneurysms. Report of three cases.
J Neurosurg. 1983 Jun;58(6):965-7. doi: 10.3171/jns.1983.58.6.0965.
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[Compression of the lumbosacral plexus in a case of voluminous aneurysm of the common iliac artery].
Riv Neurol. 1984 Nov-Dec;54(6):399-404.
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Leaking thoraco-abdominal aortic aneurysm presenting with a massive left haemothorax: a clinical trap.以大量左侧血胸为表现的胸腹主动脉瘤破裂:一个临床陷阱。
Postgrad Med J. 1990 Apr;66(774):292-3. doi: 10.1136/pgmj.66.774.292.
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[Neuropathy of the lumbosacral plexus caused by an aneurysm of the abdominal aorta].[腹主动脉瘤所致腰骶丛神经病]
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[Atypical initial manifestation of abdominal aortic aneurysm. The causes of diagnostic and therapeutic errors].[腹主动脉瘤的非典型初始表现。诊断和治疗错误的原因]
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Diagnosis of ruptured aneurysm of abdominal aorta.腹主动脉瘤破裂的诊断。
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[Surgical indications in risk patients with asymptomatic rupture of abdominal aortic aneurysms].[腹主动脉瘤无症状破裂风险患者的手术指征]
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引用本文的文献

1
[Differential sciatica pain diagnosis from the neurologic viewpoint].
Med Klin (Munich). 1997 Jun 15;92(6):335-43. doi: 10.1007/BF03044774.
2
Atypical manifestations of ruptured abdominal aortic aneurysms.腹主动脉瘤破裂的非典型表现。
Postgrad Med J. 1993 Jan;69(807):6-11. doi: 10.1136/pgmj.69.807.6.

本文引用的文献

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SCIATIC PAIN FROM ARTERIOSCLEROTIC ANEURYSM OF PELVIC ARTERIES.
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[Neuropathy of the lumbosacral plexus caused by an aneurysm of the abdominal aorta].[腹主动脉瘤所致腰骶丛神经病]
Ned Tijdschr Geneeskd. 1981 Aug 1;125(31):1231-5.
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Femoral neuropathy secondary to ruptured abdominal aortic aneurysms with false aneurysms.
继发于伴有假性动脉瘤的腹主动脉瘤破裂的股神经病变。
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Neurological complications of ruptured abdominal aortic aneurysm.腹主动脉瘤破裂的神经并发症
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Femoral and sciatic compression neuropathy.股神经和坐骨神经压迫性神经病变。
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7
[Irritation of the lumbar plexus by an aneurysm of the abdominal aorta (author's transl)].腹主动脉瘤致腰丛神经受刺激(作者译)
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