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腰椎间盘硬膜内破裂:两例报告并文献复习

Intradural rupture of lumbar intervertebral disk: report of two cases with review of the literature.

作者信息

Peyser E, Harari A

出版信息

Surg Neurol. 1977 Aug;8(2):95-8.

PMID:888092
Abstract

Two cases of intradural rupture of lumbar intervertebral disks are described, in addition to 22 cases reported in the literature. Our case occurred among 753 herniated disks surgically treated in this department, an incidence similar to that in the literature. Clinically most cases presented as an acute cauda equina syndrome, and a myelographic block was almost always present. Prognosis is not made worse by the perforation. Various factors that might contribute to this relatively rate complication of disk disease are mentioned.

摘要

本文描述了2例腰椎间盘硬膜内破裂病例,另外还有文献报道的22例。我们的病例发生在本科接受手术治疗的753例椎间盘突出症患者中,其发生率与文献报道相似。临床上大多数病例表现为急性马尾综合征,几乎总是存在脊髓造影阻塞。穿孔并不会使预后变差。文中提到了可能导致椎间盘疾病这种相对少见并发症的各种因素。

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引用本文的文献

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Intradural lumbar disc herniations: the role of MRI in preoperative diagnosis and review of the literature.硬脊膜内腰椎间盘突出症:MRI在术前诊断中的作用及文献综述
Neurosurg Rev. 2004 Apr;27(2):75-80; discussion 81-2. doi: 10.1007/s10143-003-0296-3. Epub 2003 Oct 15.
2
Intradural disc herniation with vacuum phenomenon: CT diagnosis.
Neuroradiology. 1987;29(4):407. doi: 10.1007/BF00348927.
3
Intradural disc herniations pathogenesis, clinical picture, diagnosis and treatment.硬膜内椎间盘突出症的发病机制、临床表现、诊断及治疗。
Acta Neurochir (Wien). 1991;110(3-4):160-5. doi: 10.1007/BF01400685.
4
Cauda equina compression due to posterior epidural migration of extruded lumbar disk.腰椎间盘突出症后硬膜外移位致马尾神经受压
Neurosurg Rev. 1992;15(4):311-3. doi: 10.1007/BF00257813.