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脊髓前动脉综合征及其自然病程。

Anterior spinal artery syndrome and its natural history.

作者信息

Foo D, Rossier A B

出版信息

Paraplegia. 1983 Feb;21(1):1-10. doi: 10.1038/sc.1983.1.

DOI:10.1038/sc.1983.1
PMID:6835686
Abstract

The anterior spinal artery syndrome in three patients is described and from the literature 60 additional patients were collected. Motor recovery in the following groups of patients was noted: (1) Partial loss of motor function and pain sensation--70.4 per cent (19/27); (2) Complete motor loss but partial loss of pain--83.3 per cent (5/6); (3) Paresis but pain sensation absent--66.7 per cent (6/9); and (4) Absent motor function and pain--38.9 per cent (7/18). Motor recovery was also found to vary according to aetiology: (A) Unknown cause--92.9 per cent (13/14); (B) Post-infection or vaccination--88.9 per cent (8/9); (C) Anterior spinal artery occlusion--33.3 per cent (3/9); (D) Spinal cord angioma--20 per cent (2/10); and (E) Aortic lesion--20 per cent (1/5). Patients with sparing of motor function or pain sensation below the lesion do better than those without both functions. Neurological return also varies with the aetiology of the syndrome.

摘要

本文描述了3例患者的脊髓前动脉综合征,并从文献中收集了另外60例患者。记录了以下几组患者的运动恢复情况:(1)运动功能部分丧失且有痛觉——70.4%(19/27);(2)运动功能完全丧失但痛觉部分丧失——83.3%(5/6);(3)轻瘫但无痛觉——66.7%(6/9);(4)运动功能和痛觉均缺失——38.9%(7/18)。还发现运动恢复因病因不同而有所差异:(A)病因不明——92.9%(13/14);(B)感染后或接种疫苗后——88.9%(8/9);(C)脊髓前动脉闭塞——33.3%(3/9);(D)脊髓血管瘤——20%(2/10);(E)主动脉病变——20%(1/5)。病变以下运动功能或痛觉未受损的患者比两者均受损的患者恢复情况更好。神经功能恢复也因综合征的病因不同而有所差异。

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