前脊髓梗塞:一个罕见的诊断与一个不常见的呈现
Sílvia Ferreira1, Angelo Fonseca2, Filipe Correia2
1Intensive Care Unit, Hospital Pedro Hispano, Matosinhos, PRT.
Cureus
|August 8, 2024
概括
脊髓梗塞 (SCI) 是一种罕见的中风类型. 这一案例突出了严重的高甘油三血症诱导的SCI,强调了诊断挑战和特征性的MRI发现,如"猫头".
科学领域:
- 神经学 神经学
- 血管神经学 血管神经学
- 放射学 放射学是一门学科.
背景情况:
- 脊髓梗塞 (SCI) 是一种罕见的血管事件,占所有中风的1%,呈现出各种神经系统综合征.
- 由于发病,严重程度和恢复模式各不相同,诊断是具有挑战性的,这取决于临床表现和MRI确认.
- 风险因素包括肥胖,高尿血,血脂不良和吸烟,正如这位患者所见的那样.
研究的目的:
- 报告一种罕见的脊髓梗塞 (SCI) 病例,与严重的高甘油三血相关.
- 要突出特征性的MRI发现,包括"猫头的眼睛"的标志,在前脊髓动脉 (ASA) 梗塞.
- 强调SCI的诊断挑战和不同的病因.
主要方法:
- 一个72岁的男性突然的临床病例介绍.
- 诊断工作包括神经学检查,实验室测试 (揭示高甘油三血症) 和MRI.
- 核磁共振扫描结果证实了ASA中的急性缺血性病变,具有特征的"猫头眼"标志.
主要成果:
- 患者表现为胸痛,进展为残肢和T6以下的感觉丧失.
- 严重的高甘油三血症被确定为潜在的促成因素.
- 核磁共振扫描 (MRI) 在ASA中证实SCI具有"猫头的眼睛"标志,尽管最初的临床表现不一致,归因于临床胀.
结论:
- 脊髓梗塞是 paraplegia的不常见原因,需要高度的临床怀疑.
- 严重的高甘油三血症可能是SCI的罕见病因.
- 典型的MRI发现有助于诊断SCI,强调考虑不同的病因的重要性.
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