由创伤性神经根突破引起的腹膜下血瘤造成的椎脊髓压缩:一个说明性的案例
Journal of neurosurgery. Case lessons
|November 13, 2023
概括
对于罕见的创伤后宫下体血瘤而言,迅速的外科疏散至关重要,导致神经系统缺陷. 这些血瘤可能来自于神经根的损伤,可能导致单边症状.
科学领域:
- 神经外科 神经外科
- 脊髓损伤 脊髓损伤 脊髓损伤
- 创伤外科 手术 创伤外科
背景情况:
- 部脊柱的创伤后内血瘤并不常见,但由于脊髓压缩,可能导致严重的神经缺陷.
- 对于压缩性宫血瘤,需要立即进行手术.
- 部神经根的突破是造成腹腔内血瘤的潜在原因.
研究的目的:
- 突出识别和管理创伤后宫下体血瘤的重要性.
- 为了强调这些血瘤的潜在来源来自神经根的损伤.
- 为了强调尽管初步成像检查发现,但仍需要做好手术准备.
主要方法:
- 一个29岁的男性患有多创伤和随后的神经缺陷的案例介绍.
- 使用磁共振成像 (MRI) 进行诊断成像,以识别宫脊椎血瘤.
- 在手术中发现的发现显示出源于C6神经根突破的体内血瘤.
主要成果:
- 患者在发生机动车祸后出现了渐进的单侧虚弱.
- 磁力共振成像最初暗示的是外腔内血瘤,但手术后的检查证实了下腔内血瘤.
- 血液瘤被发现是异常的,是由右侧C6神经根发生的突发事件引起的.
结论:
- 创伤后的宫下体血瘤需要紧急的手术疏散,当神经缺陷存在时.
- 突发性神经根可能是这些血瘤的来源,可能导致单边缺陷.
- 外科医生必须考虑内血瘤,即使MRI表明是外周源.
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