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三例儿童脊髓损伤的罕见病例。

Three unusual cases of spinal cord injury in childhood.

作者信息

Renard M, Tridon P, Kuhnast M, Renauld J M, Dollfus P

出版信息

Paraplegia. 1978 May;16(1):130-4. doi: 10.1038/sc.1978.22.

DOI:10.1038/sc.1978.22
PMID:733282
Abstract

Three cases of unusual traumatic spinal cord injuries are reported. The cases were referred to the neurosurgical unit of Nancy, one tetraplegia and one paraplegia caused by transfixing wounds which were overlooked after the injury. The transfixing wound caused an associated meningitis with tetraplegia, and in the second case the initial small plural effusion associated with paraplegia even, in a very short while, evoked a possible diagnosis of leukaemia amongst others, until the knowledge of trauma had been ascertained, the child being then immediately transferred to the neurosurgical unit. Spanking, in the last case, was the cause of an important luxation of T12-L1, at first with a complete paraplegia, and was associated with the fact that the child was only seen a few days after by a doctor and immediately referred. The child made a full recovery from his paraplegia.

摘要

报告了三例特殊的创伤性脊髓损伤病例。这些病例被转诊至南锡的神经外科病房,其中一例四肢瘫痪,一例截瘫,损伤后均漏诊了贯通伤。贯通伤导致了伴有四肢瘫痪的脑膜炎,在第二例中,最初与截瘫相关的少量胸腔积液,甚至在很短时间内引发了包括白血病在内的多种可能诊断,直到确定创伤情况,该患儿随后立即被转至神经外科病房。在最后一例中,打屁股是导致T12-L1严重脱位的原因,起初患儿完全截瘫,且受伤几天后才被医生诊治并立即转诊。该患儿截瘫完全康复。

相似文献

1
Three unusual cases of spinal cord injury in childhood.三例儿童脊髓损伤的罕见病例。
Paraplegia. 1978 May;16(1):130-4. doi: 10.1038/sc.1978.22.
2
Spinal injuries with tetraplegia and paraplegia.
J Bone Joint Surg Br. 1979 Aug;61-B(3):267-84. doi: 10.1302/0301-620X.61B3.225332.
3
Spinal cord trauma in children. Neurologic patterns, radiologic features, and pathomechanics of injury.儿童脊髓损伤。损伤的神经学模式、放射学特征及病理力学
Spine (Phila Pa 1976). 1980 Jan-Feb;5(1):11-8.
4
Multiple spinal injuries.多处脊柱损伤。
Br J Surg. 1968 Aug;55(8):565-70. doi: 10.1002/bjs.1800550802.
5
[Problems raised by the rehabilitation of spinal cord injury patients].[脊髓损伤患者康复引发的问题]
Schweiz Arch Neurol Neurochir Psychiatr. 1969;103(1):117-36.
6
Spinal cord injuries associated with vertebral fractures and dislocations. Clinical and radiological results in 30 patients.与椎体骨折和脱位相关的脊髓损伤。30例患者的临床和放射学结果。
Arch Orthop Trauma Surg (1978). 1979 Aug;94(3):185-90. doi: 10.1007/BF00618444.
7
[Medullary arteriographic findings in paraplegia and quadriplegia due to trauma (author's transl)].[创伤性截瘫和四肢瘫的脊髓血管造影表现(作者译)]
Chirurgie. 1979;105(2):154-60.
8
Traumatic paraplegia in children without contiguous spinal fracture or dislocation.
Neurosurgery. 1983 Apr;12(4):439-45. doi: 10.1227/00006123-198304000-00012.
9
Tetraplegia from trauma of the cervical spine in the absence of fractures and luxations.无骨折及脱位的颈椎创伤所致四肢瘫
J Neurosurg Sci. 1975 Jul-Sep;19(3):171-5.
10
Value of gas myelography in early management of acute cervical spinal cord injuries.气体脊髓造影在急性颈脊髓损伤早期治疗中的价值
J Neurosurg. 1975 Mar;42(3):330-7. doi: 10.3171/jns.1975.42.3.0330.

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An arrow that missed the mark: a pediatric case report of remarkable neurologic improvement following penetrating spinal cord injury.一支脱靶的箭:一例儿童穿透性脊髓损伤后神经功能显著改善的病例报告。
Childs Nerv Syst. 2021 May;37(5):1771-1778. doi: 10.1007/s00381-020-04842-w. Epub 2020 Aug 5.
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Thoracolumbar fracture with listhesis--an uncommon manifestation of child abuse.
胸腰椎骨折伴椎体滑脱——虐待儿童的一种罕见表现。
Pediatr Radiol. 2003 May;33(5):305-10. doi: 10.1007/s00247-002-0857-6. Epub 2003 Mar 6.