脊柱状囊 - 我们的经验
Batuk Diyora1, Anup Purandare1, Kavin Devani1
1Department of Neurosurgery, Lokmanya Tilak Municipal General Hospital, Mumbai, Maharashtra, India.
Asian journal of neurosurgery
|August 29, 2024
概括
脊柱甲状腺囊很少见,通常在胸部区域发现. 对症状性囊进行手术会导致显著的症状改善和低的复发率.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 脊柱甲状腺囊是不常见的病变,主要影响胸部和胸脊柱.
- 磁共振成像 (MRI) 对于诊断脊髓状囊至关重要,有助于定位和了解它们的起源.
研究的目的:
- 分析脊柱囊患者的人口统计,临床表现,手术治疗和治疗结果.
- 评估手术治疗症状性脊髓状囊的有效性.
主要方法:
- 从2003年1月到2021年12月,对22名患有症状脊髓状囊的患者进行了回顾性分析.
- 放射学调查,包括MRI,用于诊断和分类 (纳博斯分类). 手术技术在术后进行了分级.
主要成果:
- 该研究包括22名患者 (11名男性,11名女性),平均年龄为34.7岁.
- 常见的症状包括下肢软弱 (50%),四肢/性 (32%),以及膀/肠道失禁 (14%).
- 手术结果显示,随访1年后症状完全改善,没有发现复发. 在17名患者中进行了完整的切除.
结论:
- 脊柱甲状腺囊是罕见的,通常位于胸部/胸部区域.
- 保守的管理可能适合无症状囊;然而,症状囊从手术干预中受益,复发率和并发症率低.
- 虽然最佳的手术技术仍在争论中,但所有手术都改善了症状.
更多相关视频
相关概念视频
Cranial and Spinal Meninges
1.3K
The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
1.3K
Local Anesthetics: Clinical Application as Spinal Anesthesia
592
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
592


