由脊髓梗塞引起的单边软弱,发生在接受脏移植的人身上
Seul Bi Kim1, Seung Min Kim2, Byoung-Soo Shin3,4
1Jeonbuk National University Medical School, Jeonbuk.
The neurologist
|March 19, 2025
概括
脊髓梗塞可以导致单侧半,模仿中风. 这一案例凸显了其作为移植接受者的长期并发症的潜力,需要仔细诊断.
科学领域:
- 神经学 神经学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管医学 血管医学
背景情况:
- 脊髓梗塞呈现的变化很大,如果突动脉受到影响,就会出现单侧半.
- 脑血管疾病,包括中风,是移植患者的严重并发症.
- 亚临床的血管变化,如内心介质的加厚,在无症状的移植患者中很常见,并且与脑血管风险有关.
研究的目的:
- 报告一个宫脊髓梗塞的病例,表现为移植接受者的单边半衰.
- 要强调诊断挑战和脊髓梗塞在这个患者群体的潜在长期影响.
主要方法:
- 一名64岁的男性脏移植接受者出现了急性右侧半.
- 磁共振成像 (MRI) 揭示了椎脊髓梗塞,涉及C2-C3.3的右脉动脉.
- 治疗包括脉冲静脉注射甲基prednisolone和双抗血小板治疗.
主要成果:
- 患者在治疗3天内经历了快速的神经改善.
- 磁力共振成像 (MRI) 证实了椎脊髓梗塞,具有特征性的T2和扩散权重成像发现.
- 演示模仿了中风,使初始诊断复杂化.
结论:
- 单侧半需要在差异诊断中考虑脊髓梗塞.
- 脊髓梗塞可能代表移植接受者的延迟并发症.
- 及时诊断和管理导致了显著的康复.
相关概念视频
Kidney Transplant I: Introduction
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
Kidney Transplant II: Surgical Procedure
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Kidney Transplant III: Nursing Management
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
Acute Kidney Injury I: Introduction
Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
Acute Kidney Injury II: Pathophysiology
Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
Acute Kidney Injury IV: Diagnostic Studies and Prevention
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...


