Milhorat T H, Kotzen R M
Department of Neurosurgery, State University of New York Health Science Center at Brooklyn.
J Neurosurg. 1994 Jul;81(1):103-6. doi: 10.3171/jns.1994.81.1.0103.
The central canal of the human spinal cord is partially or completely occluded in the vast majority of individuals by the early years of adult life. The authors describe an experimental lesion following virus-induced ependymitis that bears a striking resemblance to the condition in man. Suckling hamsters were inoculated with 0.06 ml of 10(-3) infectivity titer of reovirus type I between the 2nd and 5th days of life. The pathological events consisted of necrotizing ependymitis, healing of the ependyma by gliovascular scarring, and obstruction of narrow bottlenecks such as the central canal. Histological findings were characterized by disorganization of the ependyma, formation of ependymal rosettes and microtubules, subependymal gliovascular scarring, and intracanalicular gliosis. These features are the same as those encountered clinically and provide strong evidence that stenosis of the central canal in man is a pathological lesion involving ependymal injury and scarring.
在绝大多数个体中,人类脊髓中央管在成年早期会部分或完全闭塞。作者描述了一种病毒诱导的室管膜炎后的实验性损伤,它与人类的这种情况惊人地相似。在出生后第2天至第5天之间,给乳鼠接种0.06毫升10⁻³感染滴度的I型呼肠孤病毒。病理过程包括坏死性室管膜炎、室管膜通过胶质血管瘢痕愈合以及中央管等狭窄瓶颈处的阻塞。组织学表现为室管膜紊乱、室管膜玫瑰花结和微管形成、室管膜下胶质血管瘢痕形成以及管内胶质增生。这些特征与临床所见相同,并提供了有力证据,表明人类中央管狭窄是一种涉及室管膜损伤和瘢痕形成的病理病变。