Kim R C, Smith H R, Henbest M L, Choi B H
Ann Neurol. 1984 Apr;15(4):379-85. doi: 10.1002/ana.410150413.
A 71-year-old man experienced gradually progressive leg weakness, urinary retention, and mild loss of sensation in dermatomes T8 through T12 bilaterally. After 5 to 6 weeks of illness, he developed flaccid paraplegia and sensory loss below T8. He died 16 weeks after onset of neurological symptoms. Neuropathologically, there was widespread, subtotal necrosis of the spinal cord, largely of nonhemorrhagic character, from T8 downward. Dorsal and anterior median spinal veins were occluded by a partially organized thrombus. Comparison of this case with 19 previously recorded examples of venous infarction of the spinal cord (8 hemorrhagic, 7 nonhemorrhagic, and 4 embolic) suggests major differences in clinical presentation, rate of progression, and length of survival among the three groups.
一名71岁男性逐渐出现进行性腿部无力、尿潴留,双侧T8至T12皮节轻度感觉丧失。患病5至6周后,他发展为弛缓性截瘫,T8以下感觉丧失。神经症状出现16周后死亡。神经病理学检查发现,从T8向下脊髓广泛出现部分坏死,主要为非出血性。脊髓背侧和前正中静脉被部分机化的血栓阻塞。将该病例与之前记录的19例脊髓静脉梗死病例(8例出血性、7例非出血性和4例栓塞性)进行比较,结果表明三组病例在临床表现、进展速度和生存时间方面存在重大差异。