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[创伤后脊髓空洞症]

[Posttraumatic syringomyelia].

作者信息

Schliep G, Haupt W F, Fasshauer K

出版信息

Fortschr Neurol Psychiatr. 1984 Feb;52(2):62-6. doi: 10.1055/s-2007-1002002.

Abstract

Communications on posttraumatic syringomyelia, a late sequel of complete or incomplete paraplegia or even tetraplegia, are rather infrequently in German literature. The problems of this well known complication occurring several months, years or even decades after a severe spinal cord trauma are discussed by two own cases. Both patients suffering from paraplegia developed signs and symptoms of posttraumatic syringomyelia 6 months and 3 years respectively after the accident. Case history and clinical findings correspond with reports in literature. Cystic degeneration in the cervical spinal cord could only be demonstrated in one patient by metrizamid -T-myelography combined with computerized tomography. The value of radiological and other technical investigations, pathogenesis, morphological findings and treatment are discussed.

摘要

关于创伤后脊髓空洞症(一种完全性或不完全性截瘫甚至四肢瘫的晚期后遗症)的文献在德国文学中相当少见。通过两个自身病例讨论了这种在严重脊髓损伤数月、数年甚至数十年后出现的著名并发症的问题。两名截瘫患者在事故后分别于6个月和3年出现了创伤后脊髓空洞症的体征和症状。病例史和临床发现与文献报道相符。仅在一名患者中通过甲泛葡胺-T-脊髓造影结合计算机断层扫描证实了颈髓的囊性退变。讨论了放射学和其他技术检查的价值、发病机制、形态学发现及治疗。

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