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先天性神经异常在Klippel-Feil综合征患者中表现为镜像运动。病例报告。

Congenital neural abnormalities presenting with mirror movements in a patient with Klippel-Feil syndrome. Case report.

作者信息

Whittle I R, Besser M

出版信息

J Neurosurg. 1983 Nov;59(5):891-4. doi: 10.3171/jns.1983.59.5.0891.

DOI:10.3171/jns.1983.59.5.0891
PMID:6619945
Abstract

A young girl with Klippel-Feil syndrome presented with the onset of mirror movements in early childhood. Computerized tomography studies of her cervical spine and brain revealed fibrous diastematomyelia with duplication of the cervical spinal cord and an extra-axial midline posterior fossa cyst, together with the multiple cervical vertebral anomalies. Exploration of the posterior fossa lesion revealed it to be a dermoid cyst. The congenital spinal and cord abnormalities found in this case support the hypothesis that the Klippel-Feil syndrome may be associated with variable duplication of the spinal cord and that mirror movements may be related to impairment of pyramidal tract decussation.

摘要

一名患有克-费二氏综合征的年轻女孩在幼儿期出现了镜像运动。对其颈椎和脑部进行的计算机断层扫描研究显示,存在纤维性脊髓纵裂伴颈髓重复以及颅后窝轴外中线囊肿,同时还有多处颈椎异常。对颅后窝病变进行探查发现是一个皮样囊肿。该病例中发现的先天性脊柱和脊髓异常支持了这样一种假说,即克-费二氏综合征可能与脊髓的可变重复有关,且镜像运动可能与锥体束交叉受损有关。

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引用本文的文献

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Posterior fossa infected dermoid with congenital heart disease: A novel hypothesis of an unusual association.后颅窝感染性皮样囊肿合并先天性心脏病:一种罕见关联的新假说。
J Pediatr Neurosci. 2015 Jul-Sep;10(3):250-3. doi: 10.4103/1817-1745.165681.
2
Malignant teratoma in Klippel-Feil syndrome: a case report and review of the literature.Klippel-Feil综合征中的恶性畸胎瘤:一例病例报告并文献复习
J Med Case Rep. 2015 Oct 4;9:229. doi: 10.1186/s13256-015-0700-y.
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Split medulla in association with multiple closed neural tube defects.
延髓分裂合并多发神经管闭合性缺陷。
Childs Nerv Syst. 2010 Jul;26(7):967-71. doi: 10.1007/s00381-010-1098-x. Epub 2010 Feb 24.
4
Investigations into the association between cervicomedullary neuroschisis and mirror movements in patients with Klippel-Feil syndrome.对Klippel-Feil综合征患者颈髓神经裂与镜像运动之间关联的研究。
AJNR Am J Neuroradiol. 2002 Apr;23(4):724-9.
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Posterior fossa dermoid cysts and the Klippel-Feil syndrome.后颅窝皮样囊肿与克利珀尔-费尔综合征。
J Neurol Neurosurg Psychiatry. 1991 Nov;54(11):1016-7. doi: 10.1136/jnnp.54.11.1016.