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由椎脊髓炎引起的阴囊炎类疼痛:四个病例报告和系统审查
Changsheng Han1, Jingming Wang1, Lei Wang1
1Orthopedic Department, 960 Hospital of People's Liberation Army, Jinan, Shandong, China.
Frontiers in medicine
|August 16, 2024
概括
椎脊髓炎 (CSM) 可以模仿坐骨髓炎,导致误诊. 早期识别神经症状和椎脊柱过度延伸对于准确的诊断和有效的手术治疗至关重要.
科学领域:
- 神经学 神经学
- 脊柱外科手术 脊柱外科手术
背景情况:
- 椎脊髓炎 (CSM) 是一种退行性脊髓疾病.
- CSM可以呈现异常症状,包括 sciatica-like 疼痛,模仿腰椎病理.
研究的目的:
- 描述罕见的CSM病例,主要呈现着类似于坐骨 sciatica的疼痛.
- 为了突出诊断挑战和指标,这个条件.
主要方法:
- 对四个CSM病例的回顾性分析,其中包括与 sciatica类似的疼痛.
- 对PubMed,Embase和Web of Science进行系统审查,以研究CSM和 sciatica.
主要成果:
- 这四个案例最初都被误诊为腰部退行性疾病.
- 神经学征兆 (例如,超反射,巴宾斯基,霍夫曼征兆) 促使宫MRI.
- 宫减压手术在所有病例中以及对10例病例的系统性审查中解决了类似坐骨神经炎的疼痛.
结论:
- 带有 sciatica 类疼痛的 CSM 经常被误诊为腰部疾病.
- 手术前的神经症状和椎脊柱过度延伸恶化下肢疼痛是关键的诊断指标.
- 及时诊断和手术干预可以缓解CSM的坐骨髓炎症状.
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