奇形脊髓的De Novo形成 脊髓
Wouter I Schievink1, Marcel M Maya2, Miriam Nuño3
1From the Departments of Neurosurgery (W.I.S.), Cedars-Sinai Medical Center, Los Angeles, California schievinkw@cshs.org.
AJNR. American journal of neuroradiology
|July 25, 2024
概括
异常脊髓 (iSCH) 是一种获得的疾病,而不是先天性. 腹部脑脊液 (CSF) 泄漏的早期治疗可以预防iSCH和相关的神经障碍.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 脊柱成像 - 脊柱成像 - 脊柱成像
背景情况:
- 异形脊髓 (iSCH) 是一种罕见的疾病,病因不明.
- 持续的腹部脊柱脑脊液 (CSF) 泄漏与各种神经症状有关.
研究的目的:
- 为了确定异常脊髓 (iSCH) 是先天性还是获得性疾病.
- 为了评估患有持续腹脊髓中枢液泄漏的患者患上iSCH的风险.
主要方法:
- 对6名患有iSCH的患者进行了回顾性分析,这些患者先前进行了脊髓成像.
- 51名患者的前性评估持续的腹部脊柱CSF泄漏.
主要成果:
- 在所有6名患有iSCH和先前成像的患者中观察到iSCH的de novo形成.
- 在51名患者中有2名 (3.9%) 患有10年来持续存在的腹腔脊髓中脑脊液泄漏的患者中发生了iSCH.
- 在CSF泄漏的患者中,发展iSCH的概率从5年后的0%增加到10年后的9.4%.
结论:
- 异形脊髓 (iSCH) 是一种获得性疾病.
- 对于腹部CSF泄漏的早期干预可以防止iSCH和随后的神经障碍的发展.
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