宫胸部结合处的突囊:三个病例的说明系列
Darrion Bo-Yun Yang1, James Harms2, Ravishankar K Iyer3
1Department of Neurosurgery, Carle Illinois College of Medicine, University of Illinois Urbana-Champaign.
Surgical neurology international
|July 5, 2023
概括
椎脊柱突囊很少见,但可以引起显著的疼痛和根基病变. 手术治疗,包括断层切除,切除和融合,有效地解决了没有并发症的症状.
科学领域:
- 神经外科 神经外科
- 脊柱病理学 脊柱病理学
背景情况:
- 脊柱结膜囊影响0.65-2.6%的人口,宫囊特别罕见 (2.6%的脊柱囊).
- 这些囊可以压缩神经结构,导致神经缺陷,特别是当扩大时.
- 通常在腰椎中发现,当压缩脊髓或神经根时,它们会引起疼痛和根性病变.
研究的目的:
- 在C7-T1交叉点呈现三例椎脊髓突囊.
- 突出这些罕见囊的诊断方法和手术管理.
主要方法:
- 三名患有C7-T1结位囊的患者 (47岁,56岁,74岁) 的病例系列.
- 通过计算机断层扫描 (CT) 和磁共振成像 (MRI) 证实了诊断.
- 外科干预包括拉美切除,囊切除和脊髓融合.
主要成果:
- 这三名患者都经历了疼痛和根结核病的完全消失.
- 没有报告任何手术内或术后并发症.
结论:
- 椎脊髓突囊瘤是上肢疼痛和根结核病的不常见病因.
- CT和MRI是有效的诊断工具.
- 涉及细叶切除,切除和融合的手术管理产生了很好的结果.
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