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[梅毒性关节病导致椎管狭窄引起的截瘫合并马尾综合征]

[Paraplegia with a cauda equina syndrome due to stenosis of the spinal canal caused by tabes arthropathy].

作者信息

Steimlé R, Jacquet G, Wehbi M, Sauvageot M, Lecuyer F

出版信息

Acta Neurochir (Wien). 1978;40(3-4):323-33. doi: 10.1007/BF01774757.

Abstract

The authors present a case of cauda equina paraparesis due to compression by tabetic osteo-arthropathy. Diagnosis was confirmed by the typical clinical picture of tabes and by the history of a chancre 53 years earlier. Radiography of the spine showed vertibral osteo-arthropathy. Opaque contrast myelography showed compression at the D 11/D 12 and L 4/L 5 levels, with poor contrast filling athe the L 1/L 3 level. Surgical treatment by decompressive laminectomies from D 12 to L 4 led to a satisfactory result with motor recovery and regression of the cauda equina syndrome.

摘要

作者报告了一例因梅毒性骨关节炎压迫导致马尾神经轻瘫的病例。通过典型的梅毒临床症状以及53年前曾患一期梅毒的病史确诊。脊柱X线检查显示椎体骨关节炎。脊髓造影显示在胸11/胸12和腰4/腰5水平有压迫,在腰1/腰3水平造影剂充盈不佳。从胸12至腰4行减压性椎板切除术的手术治疗取得了满意的效果,患者运动功能恢复,马尾神经综合征症状消退。

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