Errea J M, Ara J R, Alberdi J, Pascual C, Fayed N
Servicio de Neurología, Hospital Miguel Servet, Zaragoza.
Neurologia. 1993 Aug-Sep;8(7):226-30.
Five patients (mean age 44 years--range 21-67 years) with arachnoiditis of different origin who posteriorly developed syringomyelia are presented. The etiopathogenic mechanism of the arachnoiditis was post injury in one case, 2 patients had history of meningitis (tuberculous and pneumococcic) and in the other two no related factor was found. The period of latency among the causes which originated arachnoiditis and the diagnosis of syringomyelia oscillated between 10 months and 16 years. The localization of the cavity was dorsal in 3 cases, cervical in another and in the last it was extended along the whole spine. No patient demonstrated the Arnold-Chiari malformation nor basilar impression. Analyzing the clinical history, radiologic studies and surgical findings the most probable etiopathogenic mechanism involved in each case is discussed.
本文报告了5例不同病因的蛛网膜炎患者(平均年龄44岁,范围21 - 67岁),这些患者后来均发展为脊髓空洞症。其中1例蛛网膜炎的病因是损伤后,2例患者有脑膜炎病史(结核性和肺炎球菌性),另外2例未发现相关因素。引发蛛网膜炎的病因与脊髓空洞症诊断之间的潜伏期在10个月至16年之间。空洞位于背部的有3例,位于颈部的1例,最后1例沿整个脊柱延伸。所有患者均未出现Arnold-Chiari畸形或基底凹陷。通过分析临床病史、放射学检查和手术结果,讨论了每例患者最可能的发病机制。