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手术治疗创伤性颈椎间盘硬膜外和硬膜内疝。

Traumatic extradural and intradural herniation of cervical disk treated surgically.

作者信息

Caetano de Barros A, Caetano de Barros M

出版信息

Surg Neurol. 1984 Jun;21(6):577-80. doi: 10.1016/0090-3019(84)90273-8.

Abstract

Intradural diskal herniation is a very rare condition, particularly in the cervical region, with few reports in the literature. A case is described of a young man who developed transient quadriparesia immediately after a car accident. Three months later when bending his neck he suddenly experienced a sense of numbness and vibration over his whole body; this sense reappeared every time he bent his neck. Myelography disclosed an extensive ventral extradural cervical defect. An operation was performed anteriorly with removal of the C-4 vertebral body and adjacent disks, disclosing an extruded disk in the extradural and intradural spaces.

摘要

硬膜内椎间盘突出是一种非常罕见的病症,尤其是在颈椎区域,文献报道极少。本文描述了一例年轻男性病例,该患者在车祸后立即出现短暂性四肢轻瘫。三个月后,当他弯曲颈部时,突然感到全身麻木和震颤;每次弯曲颈部时这种感觉都会再次出现。脊髓造影显示颈椎硬膜外有广泛的腹侧缺损。遂行前路手术,切除了C-4椎体及相邻椎间盘,发现硬膜外和硬膜内间隙有一枚脱出的椎间盘。

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