Raftopoulos C, Hurrel A, Ticket L, Szliwowski H B, Brotchi J
Department of Neurosurgery, Hôpital Erasme, Université Libre de Bruxelles, Belgium.
Childs Nerv Syst. 1994 Sep;10(7):464-7. doi: 10.1007/BF00303615.
A 3-year-old girl developed sudden complete paraplegia because of an aneurysmal bone cyst of the fourth thoracic vertebra. We performed a two-step surgical procedure resulting in complete neurological recuperation and no cyst recurrence within 2.5-year follow-up. Although the literature shows the prognosis of such a condition to be poor, this case reveals the positive effect of rapid surgical decompression and of postponing assessment by magnetic resonance imaging until before the second surgical stage. Furthermore, this case is an example of cure with neither interbody fusion nor postoperative radiotherapy, despite the total involvement of the vertebrae by the lesion.
一名3岁女孩因第四胸椎的动脉瘤样骨囊肿而突发完全性截瘫。我们实施了两步手术，术后神经功能完全恢复，在2.5年的随访期内囊肿未复发。尽管文献显示这种情况预后不佳，但该病例显示了快速手术减压以及将磁共振成像评估推迟到第二个手术阶段之前的积极效果。此外，尽管病变已完全累及椎体，但该病例是一个既未进行椎间融合也未进行术后放疗却治愈的例子。
