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晕厥作为伴有脊髓空洞症的后脑疝的一种表现特征。

Syncope as a presenting feature of hindbrain herniation with syringomyelia.

作者信息

Hampton F, Williams B, Loizou L A

出版信息

J Neurol Neurosurg Psychiatry. 1982 Oct;45(10):919-22. doi: 10.1136/jnnp.45.10.919.

DOI:10.1136/jnnp.45.10.919
PMID:7143010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC491597/
Abstract

Syncope is rare as a presenting symptom of syringomyelia. Three cases are described in which syncope brought the patient to hospital and in each case syringomyelia was subsequently diagnosed and treated. The suggestion is made that impaction of hindbrain hernia or the Chiari malformation may be a causative mechanism of loss of consciousness in such cases; the three examples presented all did well after posterior fossa surgery to decompress the hindbrain hernia.

摘要

晕厥作为脊髓空洞症的首发症状较为罕见。本文描述了三例因晕厥入院的患者,随后均被诊断并治疗为脊髓空洞症。有观点认为,后颅窝疝或Chiari畸形的嵌顿可能是此类病例意识丧失的致病机制;所呈现的三个病例在进行后颅窝手术以解除后颅窝疝后均恢复良好。

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1
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本文引用的文献

1
Cough headache due to craniospinal pressure dissociation.颅脊压力分离所致的咳嗽性头痛
Arch Neurol. 1980 Apr;37(4):226-30. doi: 10.1001/archneur.1980.00500530064010.
2
Simultaneous cerebral and spinal fluid pressure recordings. 2. Cerebrospinal dissociation with lesions at the foramen magnum.同时记录脑和脊髓液压力。2. 枕骨大孔处病变导致的脑脊液分离。
Acta Neurochir (Wien). 1981;59(1-2):123-42. doi: 10.1007/BF01411198.
3
Simultaneous cerebral and spinal fluid pressure recordings. I. Technique, physiology, and normal results.同时进行脑和脑脊液压力记录。I. 技术、生理学及正常结果。
Acta Neurochir (Wien). 1981;58(3-4):167-85. doi: 10.1007/BF01407124.
4
'Sneeze syncope', basilar invagination and Arnold-Chiari type I malformation.“喷嚏性晕厥”、基底凹陷症与Ⅰ型阿诺德-奇亚里畸形
J Neurol Neurosurg Psychiatry. 1976 Apr;39(4):381-4. doi: 10.1136/jnnp.39.4.381.
5
Syncope in the adult Chiari anomaly.成人Chiari畸形中的晕厥
Neurology. 1978 Jul;28(7):718-20. doi: 10.1212/wnl.28.7.718.