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珍珠和:来自杜拉尔撕裂的双肌缩

Yuyao Sun¹, Shivani Pahwa¹, Rani Priyanka Vasireddy¹

¹From the Departments of Neurology (Y.S., R.P.V., F.D.R.), Neurosurgery (S.P., F.D.R.), and Radiology (S.P., A.B., F.D.R.), University of Kentucky, Lexington.

|March 14, 2024

概括

双肌缩,经常被误认为ALS,可能是由持续的眼导致脊髓压缩引起的. 早期诊断需要对这种罕见的疾病保持警.

科学领域:

神经学神经学
神经外科神经外科
放射学放射学是一门学科.

背景情况:

双肌缩表现为上肢的弱点,有各种潜在的原因.
肌缩侧面硬化症 (ALS) 是这种表型的常见差异诊断.

研究的目的:

报告一种罕见的双臂肌缩病例.
为了区分持续的撕裂诱导骨髓病与ALS.
突出诊断挑战和关键发现.

主要方法:

一个患有双臂肌缩症的病人的病例报告.
临床评估,包括神经学检查.
神经传导研究 (NCS) 和电肌学 (EMG).
脊柱核磁共振扫描 (MRI) 用于识别持续性撕裂,中枢液泄漏,外侧性液体收集和腹部骨髓病.

主要成果:

患者最初被诊断为ALS,但表现为非典型的特征.
进一步的调查显示,持续的眼与CSF泄漏.
发现包括压缩性外围液,腹肌病和内低血压.
脊柱MRI在前角细胞中显示出"猫头的眼睛"的外观,与ALS成像重叠.

结论:

持续的眼可以导致腹肌病,呈现为双臂性肌缩.
临床和放射学警至关重要,以区分这与ALS.
准确诊断持续性眼对于适当的管理至关重要.

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