儿童脊椎间状囊:两个中心的集体经验
Eren Yılmaz1, Burak Gezer2, Harun Emre Şen1
1Department of Neurosurgery, Kocaeli University, Faculty of Medicine, Kocaeli, Turkey.
World neurosurgery
|July 3, 2023
概括
儿童患有症状的先天性内肠道脊柱甲状腺囊很少见,但可治疗. 手术干预,包括囊切除或化,导致大多数儿科患者的症状显著消失.
科学领域:
- 儿科神经外科 儿科神经外科
- 脊柱外科手术 脊柱外科手术
- 神经学 神经学
背景情况:
- 儿科内插式脊柱状囊是一种罕见的先天性疾病.
- 这些囊可以导致由于脊髓或神经根压缩而导致显著的神经缺陷.
- 症状包括疼痛,运动/感官障碍,步态问题,性和膀功能障碍.
研究的目的:
- 评估儿科症状性先天性内脊柱甲状腺囊的临床特征,管理策略和外科治疗结果.
- 突出及时诊断和手术干预的重要性.
主要方法:
- 八名患有脊柱内膜性arachnoid囊的儿科患者的回顾性评估.
- 分析人口统计数据,临床发现,手术程序,并发症和成像.
- 外科干预包括囊切除 (7名患者) 和囊化 (1名患者).
主要成果:
- 患者的平均年龄为8.7岁 (范围为1-17岁).
- 下肢疲软是最常见的症状 (87.5%).
- 术后症状的消失在7名患者中是完全的,在1名患者中是部分的.
结论:
- 手术治疗的成功与囊的位置,神经压缩程度和症状持续时间有关.
- 完全的囊切除或化是由手术可及性决定的.
- 及时诊断和手术管理对于患有这些罕见囊的儿科患者神经系统恢复至关重要.
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