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[与僵硬脊柱相关的充血性心肌病。“僵硬脊柱综合征”]

[Congestive cardiomyopathy associated with a stiff spinal column. "Rigid spine syndrome"].

作者信息

Théry C, Krivosic I, Dewailly P, Pirot J, Lablanche J M, Jaillard J

出版信息

Arch Mal Coeur Vaiss. 1981 Aug;74(8):985-91.

PMID:6793014
Abstract

The "rigid spine syndrome" is a rare form of myopathy characterised by rigidity of the dorso-lumbar spine, hyperextension of the neck and muscular retraction limiting mobility, especially of the upper limbs with elbows fixed in semi-flexion. This condition, which was first described relatively recently, has been little studied: only 8 cases have been published to this day. We report the case of a 20 year old man with this syndrome, associated with a severe diffuse non-obstructive hypertrophic cardiomyopathy. Electronic microscopy and histoenzymological studies were performed on the skeletal muscle. They confirmed myopathic changes, demonstrating a great variation in diameter of the fibres, but there was no evidence of a predominating histoenzymological form (type I muscular atrophy) as previously reported. Although there have been no other reports of cardiac involvement in the "rigid spine syndrome", a link between the two conditions would seem to be likely.

摘要

“僵硬脊柱综合征”是一种罕见的肌病形式,其特征为背腰部脊柱僵硬、颈部过度伸展以及肌肉挛缩限制活动,尤其是上肢活动,肘部固定于半屈曲状态。这种疾病相对较新才首次被描述,研究较少:至今仅发表了8例病例报告。我们报告一例患有该综合征的20岁男性病例,该病例伴有严重的弥漫性非梗阻性肥厚型心肌病。对其骨骼肌进行了电子显微镜检查和组织酶学研究。结果证实存在肌病改变,显示纤维直径差异很大,但没有证据表明存在先前报道的占主导的组织酶学形式(I型肌肉萎缩)。尽管此前尚无其他关于“僵硬脊柱综合征”心脏受累的报告,但这两种情况之间似乎可能存在关联。

相似文献

1
[Congestive cardiomyopathy associated with a stiff spinal column. "Rigid spine syndrome"].[与僵硬脊柱相关的充血性心肌病。“僵硬脊柱综合征”]
Arch Mal Coeur Vaiss. 1981 Aug;74(8):985-91.
2
[Multiminicore disease in a rigid spine syndrome].[僵硬脊柱综合征中的多微小核疾病]
Rev Neurol (Paris). 1987;143(4):284-9.
3
[A case of rigid spine syndrome with rimmed vacuole].[一例伴有镶边空泡的僵硬脊柱综合征病例]
Rinsho Shinkeigaku. 1990 May;30(5):516-9.
4
Congenital muscular dystrophy with rigid spine syndrome: a clinical, pathological, radiological, and genetic study.先天性肌营养不良伴刚性脊柱综合征:一项临床、病理、放射学及遗传学研究
Ann Neurol. 2000 Feb;47(2):152-61.
5
Rigid spine syndrome and fatal cardiomyopathy.僵硬脊柱综合征与致死性心肌病。
Arch Dis Child. 1981 Feb;56(2):148-51. doi: 10.1136/adc.56.2.148.
6
[A case of rigid spine syndrome with congenital cardiac abnormality of sinus venosus defect].[1例合并静脉窦缺损先天性心脏异常的僵硬脊柱综合征病例]
Rinsho Shinkeigaku. 1995 Feb;35(2):204-7.
7
[Clinical and myopathological studies on rigid spine syndrome].[僵人综合征的临床与肌病理研究]
Rinsho Shinkeigaku. 1996 Oct;36(10):1136-42.
8
Rigid spine syndrome. Some evidence of varying pathological patterns.僵硬脊柱综合征。存在不同病理模式的一些证据。
Helv Paediatr Acta. 1983 Oct;38(4):367-72.
9
[Hypertrophic non-obstructive cardiomyopathy in rigid spine syndrome].[僵硬脊柱综合征中的肥厚型非梗阻性心肌病]
Z Kardiol. 1995 Jun;84(6):490-5.
10
[A case of scapuloperoneal atrophy with rigid spine having lobulated fibers in muscle biopsy].[1例肩胛腓骨肌萎缩伴僵硬脊柱患者肌肉活检显示分叶状纤维]
Rinsho Shinkeigaku. 1991 Apr;31(4):417-21.

引用本文的文献

1
Rigid spine syndrome: a noninvasive cardiac evaluation.僵硬脊柱综合征:一项非侵入性心脏评估
Pediatr Cardiol. 2008 Jan;29(1):45-9. doi: 10.1007/s00246-007-9056-4. Epub 2007 Sep 5.
2
The spectrum of the so-called rigid spine syndrome: nosological considerations and report of three female cases.
J Neurol. 1986 Aug;233(4):248-53. doi: 10.1007/BF00314029.
3
The rigid spine syndrome.僵硬脊柱综合征
J Neurol Neurosurg Psychiatry. 1986 Nov;49(11):1292-7. doi: 10.1136/jnnp.49.11.1292.