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手术缓解阿诺德-奇亚里畸形所致的进行性上肢麻痹

Surgical relief of progressive upper limb paralysis in Arnold-Chiari malformation.

作者信息

Gol A, Hellbusch L C

出版信息

J Neurol Neurosurg Psychiatry. 1978 May;41(5):433-7. doi: 10.1136/jnnp.41.5.433.

DOI:10.1136/jnnp.41.5.433
PMID:660206
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC493050/
Abstract

Two cases of delayed progressive paralysis of the upper limbs in an adult and a teenage patient, without neurological deficits in other regions of the body, are presented. In both cases, the pathology appeared to be a traction lesion of the middle cervical and lower cervical nerve roots, due to abnormal angulation of the nerve roots, which first ran up and then downward in the neural foramina and canal. Re-routing of the nerve roots by removing part of the floor of the neural canal, or by a facetectomy, appeared to offer extensive improvement or full recovery.

摘要

本文报告了一名成人和一名青少年患者上肢迟发性进行性麻痹的两例病例,身体其他部位无神经功能缺损。在这两例病例中,病理表现似乎是颈中、下神经根的牵拉伤,原因是神经根异常成角,神经根在神经孔和椎管内先向上走行然后向下走行。通过切除部分椎管底部或进行小关节切除术对神经根进行重新布线,似乎可带来显著改善或完全恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b58/493050/a9a339f8bfe6/jnnpsyc00143-0048-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b58/493050/15d38ca18121/jnnpsyc00143-0046-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b58/493050/590e26d457e3/jnnpsyc00143-0047-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b58/493050/a9a339f8bfe6/jnnpsyc00143-0048-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b58/493050/15d38ca18121/jnnpsyc00143-0046-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b58/493050/590e26d457e3/jnnpsyc00143-0047-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b58/493050/a9a339f8bfe6/jnnpsyc00143-0048-a.jpg

相似文献

1
Surgical relief of progressive upper limb paralysis in Arnold-Chiari malformation.手术缓解阿诺德-奇亚里畸形所致的进行性上肢麻痹
J Neurol Neurosurg Psychiatry. 1978 May;41(5):433-7. doi: 10.1136/jnnp.41.5.433.
2
Cranio-cervical growth collision: another explanation of the Arnold-Chiari malformation and of basilar impression.颅颈生长碰撞:对阿诺德-奇亚里畸形和基底凹陷的另一种解释。
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Neurochirurgie. 1985;31(1):73-5.
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本文引用的文献

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Developmental abnormalities in the region of the foramen magnum.枕骨大孔区域的发育异常。
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Brain. 1968 Mar;91(1):131-40. doi: 10.1093/brain/91.1.131.
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14th crookshank lecture syringomyelia: a radiodiagnostic and radiotherapeutic saga.第14届克鲁克尚克讲座:脊髓空洞症——一段放射诊断与放射治疗的历程
Clin Radiol. 1971 Jan;22(1):2-16. doi: 10.1016/s0009-9260(71)80003-x.
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Early descriptions of the Arnold-Chiari malformation. The contribution of John Cleland.阿诺德-基亚里畸形的早期描述。约翰·克莱兰的贡献。
J Neurosurg. 1972 Nov;37(5):543-7. doi: 10.3171/jns.1972.37.5.0543.
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Chiari malformation presenting in adult life. Its relationship to syringomyelia.成人期出现的Chiari畸形。它与脊髓空洞症的关系。
Brain. 1974 Mar;97(1):157-68. doi: 10.1093/brain/97.1.157.
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Meningomyelocele and progressive hydromyelia. Progressive paresis in myelodysplasia.
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