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透析相关性淀粉样变所致压迫性脊髓病

Compressive myelopathy due to dialysis-associated amyloidosis.

作者信息

Sanchez R, Praga M, Rivas Salas J J, Araque A, Mazuecos A, Andres A, Rodicio J L

机构信息

Nephrology Department, Hospital 12 de Octubre, Madrid, Spain.

出版信息

Nephron. 1993;65(3):463-5. doi: 10.1159/000187531.

DOI:10.1159/000187531
PMID:8290001
Abstract

A 66-year-old woman presented a spastic quadriparesis due to compression of the cervical cord 6 years after the beginning of chronic hemodialysis. Five years later, she developed a second episode of compressive myelopathy affecting the lumbar spine. On both occasions, surgical laminectomy with removal of fibroligamentous rings that compressed the cord led to a total recovery of the patient. Histological study demonstrated the presence of massive amyloid deposits in the surgically excised material.

摘要

一名66岁女性在慢性血液透析开始6年后因颈髓受压出现痉挛性四肢瘫。5年后,她又出现了一次影响腰椎的压迫性脊髓病发作。两次发病时,通过手术切除压迫脊髓的纤维韧带环进行椎板切除术,患者均完全康复。组织学研究显示,手术切除的组织中有大量淀粉样沉积物。

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