Urbach H, Kaden B, Pechstein U, Solymosi L
Department of Neuroradiology, University of Bonn, Germany.
Neuroradiology. 1996 Feb;38(2):157-8. doi: 10.1007/BF00604806.
We report an unusual post-traumatic spinal cord herniation, which became symptomatic 38 years after the trauma. A 44-year-old man presented with a 2-year history of increasing impotence, neuropathic bladder dysfunction and dissociated sensory loss below the level of T6. At the age of 6 years he had a severe blunt spinal injury with transient paraparesis. MRI revealed right lateral and ventral displacement of the spinal cord at the T5/6 level. The spinal cord was surgically exposed and found to herniate through a ventral defect of the arachnoid membrane and the dura mater. As there were no other events that could have precipitated spinal cord herniation the reported blunt trauma in childhood is the most likely cause for the spinal cord herniation in this patient.
我们报告了一例不寻常的创伤后脊髓疝，该病例在创伤38年后出现症状。一名44岁男性，有2年逐渐加重的阳痿、神经源性膀胱功能障碍以及T6水平以下分离性感觉丧失病史。他6岁时曾遭受严重的钝性脊髓损伤，伴有短暂性双下肢轻瘫。磁共振成像（MRI）显示T5/6水平脊髓向右外侧和腹侧移位。手术暴露脊髓后发现其通过蛛网膜和硬脑膜的腹侧缺损处疝出。由于没有其他可能导致脊髓疝的事件，因此该患者童年时期所报告的钝性创伤很可能是脊髓疝的病因。
