宫内核脉的呈现和管理:一个病例报告
Tzu Chuan Yen1, John R Worley1, Devin St Clair1
1Department of Orthopaedic Surgery, University of Missouri-Columbia, Columbia, MO, USA.
AME case reports
|July 26, 2023
概括
内椎间盘 (IDH) 是一种罕见的椎脊柱疾病. 早期的MRI诊断和前部手术减压可以改善布朗-塞卡德综合征 (BSS) 患者的治疗结果.
科学领域:
- 神经外科 神经外科
- 脊柱外科手术 脊柱外科手术
- 放射学 放射学是一门学科.
背景情况:
- 内椎间盘 (IDH) 是一种不常见的脊柱疾病.
- 宫IDH可能与布朗-塞卡德综合征 (BSS) 相关.
- 在手术前确定IDH对于手术规划至关重要.
研究的目的:
- 报告一个出现神经缺陷的宫IDH病例.
- 突出MRI发现,有助于在手术前诊断IDH.
- 讨论宫IDH的手术治疗方法.
主要方法:
- 一个42岁的男性患有无创性神经症状的病例报告.
- 宫脊椎MRI用于评估的核脉.
- 前子宫椎切除和融合用于IDH去除.
主要成果:
- 核磁共振扫描显示出C6-7椎间盘与长部突起.
- 患者呈现出与不完全脊髓损伤一致的症状,可能是BSS.
- 手术后恢复显示上肢症状消失,下肢疲弱持续.
结论:
- 像MRI这样的先进成像可以诊断IDH.
- 前部外科手术方法有助于驱盘切除和持续修复.
- 手术干预导致了显著的神经恢复.
相关概念视频
Herniated Intervertebral Disc l: Introduction
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
Degenerative Disc Disease I: Introduction
Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...
Degenerative Disc Disease ll: Pathophysiology
The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...

