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病例报告:C1/2旋转不稳定性进展到极端的亚轴性超症在一个青少年严重的catatonia

Samuel F Schaible¹, Christoph Hamann², Sebastian Grunt³

¹Department of Orthopaedic Surgery and Traumatology, University Hospital Bern, Inselspital, University of Bern, CH-3010 Bern, Switzerland.

|March 21, 2024

概括

本案例报告详细介绍了一名患有自闭症谱系障碍,阴性精神分裂症和脊髓压缩的青少年严重宫变形的成功手术稳定. 治疗解决了脊柱不稳定和精神症状.

科学领域:

神经学神经学
整形外科手术整形外科手术
精神病学是一个精神病学.

背景情况:

自闭症谱系障碍 (ASD) 可以与精神病相关疾病 (如精神分裂症和猫头) 一起出现.
没有治疗的精神疾病,包括,很少会导致严重的脊柱形.
患有自闭症和精神伴随性疾病的青少年在管理脊髓疾病方面存在独特的挑战.

研究的目的:

报告一个青少年患有ASD的严重子宫变形病例,连动性精神分裂症和沉默症.
在这个复杂的患者中,研究脊柱不稳定和精神症状的管理.
审查与精神疾病相关的宫变形的文献.

主要方法:

一个案例报告,一名16岁的男性患有自闭症,触觉性精神分裂症和沉默症,出现部疼痛和扭伤.
诊断成像 (MRI) 显示了大西洋轴心的不稳定性和脊髓压缩.
治疗涉及脊柱不稳定性C1/2融合,电治疗,以及后部C1-C7稳定.

主要成果:

手术稳定C1-C7成功恢复了宫斜对齐,维持了两年.
随着脊柱的稳定,catatonia的症状同时消失.
这是第三个报告的严重宫变形病例,该病例发生在固定姿势的精神病患者身上.

结论:

跨学科的合作对于管理神经精神疾病和脊柱形之间的相互作用至关重要.
在儿科精神分裂症患者的持续性宫变形中,手术干预是实用的和有效的.
在考虑这种复杂病例的治疗选择时,必须进行彻底的风险效益分析.

关键词:

大西洋的轴心不稳定性自闭症谱系障碍自闭症谱系障碍卡塔托尼亚 (Catatonia) 是一个地区.宫过症是什么?宫过症是什么?儿科变形症儿童变形症精神分裂症是一种精神分裂症.

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