儿科年龄组的Filum terminale感染的表皮囊; 一个案例系列
Walid A Abdel Ghany1, Iman H Hewedi2, George Halim1
1Department of Neurosurgery, Ain Shams University, Cairo, Egypt.
World neurosurgery: X
|October 11, 2024
概括
感染的脊柱上皮质囊很少见,但可以治疗. 患有filum terminale表皮质囊的儿童的微手术没有出现复发,并且改善了神经缺陷,为这种罕见的脊髓瘤提供了有前途的治疗方法.
科学领域:
- 儿科神经外科 儿科神经外科
- 脊柱瘤学 脊柱瘤学
- 发育神经学 发育神经学
背景情况:
- 表皮质囊占原发性脊髓瘤的1%,由外皮包裹引起.
- 感染的脊柱上皮质囊非常罕见,表现为根性症状,运动缺陷和脑膜炎.
- 由于潜在的复发,这些囊的手术管理具有挑战性.
研究的目的:
- 为了评估微手术对儿童感染的filum terminale表皮囊的结果.
- 评估手术干预在预防复发和改善神经功能方面的有效性.
主要方法:
- 对六名为 filum terminale 感染表皮质囊治疗的儿科患者进行了回顾性审查.
- 所有患者都接受了微手术,随访时间至少为24个月.
- 分析了手术结果,重点关注复发和神经改善.
主要成果:
- 所有六个孩子都出现了下背皮肤鼻和性泄漏.
- 五名患者在物理治疗后手术后显著改善了运动能力.
- 在随访期间,在六名患者中没有观察到任何复发.
结论:
- 受感染的表皮囊,虽然很少见,但可以引起显著的发病率.
- 微手术切除在治疗受感染的脊髓表皮质囊方面是有效的,其目标是完全切除,而不会产生神经学上的损害.
- 这项研究证明了小儿filum terminale表皮质囊的微手术的安全性和有效性,结果很好.
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