一个罕见的格里塞尔综合征病例发生在一个6岁的孩子身上
Subhadeep Ghosh1, C S Vishnu Prasath1
1Department of Spine Surgery, SKS Hospital and Post Graduate Medical Institute, Salem, Tamil Nadu, India.
Journal of orthopaedic case reports
|January 31, 2024
概括
宫脊椎的不稳定性,特别是C1-C2旋转性脱,在儿童中更为常见. 及时诊断和手术融合使得在一个患有严重形的儿科病例中取得了成功.
科学领域:
- 儿科整形外科 儿科整形外科
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 旋转性C1-C2分离是儿童罕见的疾病,通常与先前的感染或创伤有关.
- 这一案例突出了患有椎脊柱复杂异常的儿科患者的诊断挑战和管理.
研究的目的:
- 报告一例儿科C1-C2旋转次排外症与相关的先天性异常.
- 描述儿童这种罕见疾病的诊断和治疗方法.
- 突出成功的手术管理和长期结果.
主要方法:
- 一个6岁的男孩有3个月的进展性部形病史被评估.
- 临床检查显示了一种""姿势,左侧头部倾斜,右下巴旋转.
- 包括MRI在内的放射性评估表明C1-C2分离与脑干压缩;手术涉及开放缩减和C1-C2融合.
主要成果:
- 该患者出现了单边C1-C2面部脱位,尾合和C2-C3融合.
- 头骨引的初始保守管理没有带来改善.
- 手术后的C1-C2开放缩减和融合导致无事件的恢复和显著的临床改善.
结论:
- 彻底的临床评估和适当的成像对于诊断儿科椎病和椎脊柱不稳定性至关重要.
- 迅速的手术干预,如C1-C2融合,可以在复杂的儿科病例中取得出色的结果.
- 报告的病例证明了手术融合对C1-C2旋转亚脱与先天性异常的疗效,导致持续的功能恢复.
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