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孕期脊髓动静脉畸形(作者译)

[Spinal cord arteriovenous malformation during pregnancy (author's transl)].

作者信息

Manabe T, Kikuchi H, Furuse S, Karasawa J, Sakaki T

出版信息

No Shinkei Geka. 1976 Mar;4(3):271-6.

PMID:944868
Abstract

On May 7, 1973, a 23-year-old female, para ii, gravida ii, suddenly developed severe chest pain at 10th month of her pregnancy and soon after became paraplegic with sensory impairment lower than the level of 5th thoracic nerve and urinary incontinence. On May 8, she was admitted to our clinic and 4 days after, labour was induced by Caesarean section. Myodil myelography demonstrated "worm like defects" at the level of Th4-Th5, but sabarachnoid block was not found. Selective spinal angiography showed the image of typical arteriovenous malformation at the level of Th2-Th6. On June 26, about 1.5 months after delivery total removal of arteriovenous malformation (from Th2 to Th6)) was performed by the use of operative microscope. 10 months after operation, the patient could walk with her baby in her arms and no urinary incontinence was seen. We discussed the clinical characteristics and the treatment of spinal cord arteriovenous malformation during pregnancy.

摘要

1973年5月7日,一名23岁经产2次、妊娠2次的女性,在妊娠第10个月时突然出现严重胸痛,不久后发生截瘫,感觉障碍平面低于第5胸神经水平,并出现尿失禁。5月8日,她入住我们的诊所,4天后行剖宫产引产。碘苯酯脊髓造影显示胸4 - 胸5水平有“蠕虫样缺损”,但未发现蛛网膜下腔梗阻。选择性脊髓血管造影显示胸2 - 胸6水平有典型动静脉畸形影像。6月26日,分娩后约1.5个月,在手术显微镜下对动静脉畸形(从胸2至胸6)进行了全切。术后10个月,患者能够怀抱婴儿行走,未见尿失禁。我们讨论了妊娠期脊髓动静脉畸形的临床特征及治疗。

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