下肢双重压缩综合征:同时发生的L5根基病变和常见的围神经压缩
Gabrielle Santangelo1, Aman Singh1, Michael Catanzaro2
1Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York, USA.
World neurosurgery
|November 25, 2024
概括
双重压缩综合征 (DCS) 涉及多个部位的神经压缩. 解压常神经改善了腰椎和下肢压缩患者的强度和减少了症状.
科学领域:
- 神经学 神经学
- 整形外科手术 整形外科手术
- 神经外科 神经外科
背景情况:
- 双重压缩综合征 (DCS) 描述了在多个位置的神经压缩.
- 靠近的腰椎脊椎病变与远端常见腹神经陷相结合,可能导致复合神经功能障碍.
研究的目的:
- 为了研究患有双重压缩综合征的患者中常见的经神经减压的结果,其中包括L5根基病变和经单元神经病变.
主要方法:
- 对100名患有L5根性病变的患者进行了回顾性分析,这些患者经历了常见的腹膜神经减压.
- 纳入标准:活跃的L5根基病变和腹膜单元神经病变 (EMG/成像).
- 专注于10名患有"纯"下肢DCS的患者.
主要成果:
- 所有10名患有下肢DCS的患者都经历了常见的神经减压.
- 解压后,背部曲,延伸器幻觉长度强度和脚变动有所改善.
- 侧腿/背脚的麻木感减少,积极的Tinel的标志减少.
结论:
- 这项研究报告了第一个关于DCS的系列,在腰椎和下肢有双压缩点,通过EMG和成像证实了这一点.
- 常见的腹部神经减压有效地改善了受影响患者的背部屈曲强度.
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