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[有趣的病例报告:表现为腰骶部坐骨神经痛的脊髓梗死]

[The interesting case report: spinal infarct with the picture of lumbar ischialgia].

作者信息

Zedler A, Wagner D

机构信息

Orthopädische Universitätsklinik Giessen.

出版信息

Z Orthop Ihre Grenzgeb. 1996 Nov-Dec;134(6):488-91. doi: 10.1055/s-2008-1037443.

DOI:10.1055/s-2008-1037443
PMID:9027117
Abstract

The case we present here is that of a fifty-year-old male patient who first came to the Orthopedic Hospital for out-patient treatment suffering from symptoms of lumboischialgia. Shortly afterwards, he developed symptoms characteristic of paraplegia. It was only 21 days after the initial symptoms had manifest themselves that the tentative previous diagnosis, suspected "spinal infarct", could be confirmed by magnetic resonance tomography (MRT). Possibilities offered by differential diagnosis are discussed; the discussion is followed by an enumeration of this highly heterogeneous group of illnesses.

摘要

我们在此呈现的病例是一名50岁男性患者,他最初因腰腿痛症状前往骨科医院门诊治疗。不久后,他出现了截瘫的典型症状。在最初症状出现仅21天后,之前初步诊断怀疑的“脊髓梗死”通过磁共振断层扫描(MRT)得以确诊。文中讨论了鉴别诊断的可能性;随后列举了这一高度异质性疾病组。

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