分段性脊柱失生症 - 一种罕见的脊柱失色症
Neha Singhal1, Nishat Amina2, Ravi Shankar Solanki2
1Lady Hardinge Medical College, Shaheed Bhagat Singh Margh, Connaught Place, Delhi, 110001, New Delhi, India. nehasinghal268@gmail.com.
Pediatric radiology
|October 21, 2025
概括
细分脊柱失生,一种罕见的记节带形,导致性帕帕雷西斯和神经性膀. 这一案例突出显示了一名儿童的脊髓发育不良与脊椎形在保守管理.
科学领域:
- 儿科神经学 儿科神经学
- 遗传性缺陷 遗传性缺陷是一种先天性缺陷
- 脊髓疾病 脊髓疾病
背景情况:
- 分段性脊柱失生是一种罕见的先天性异常,影响脊髓,可能源于脑脊髓形.
- 临床表现通常包括性帕帕雷西斯和神经性膀,以及焦点脊髓发育失调和kyphoscoliotic变形.
研究的目的:
- 在儿科病人身上呈现一个细分脊柱失生病例.
- 为了说明诊断结果和保守的管理方法.
主要方法:
- 一个2岁男孩的病例报告,患有复发性尿路感染和发烧.
- 临床检查显示了双边的脚,kyphoscoliotic变形,以及paraparesis.
- 诊断成像,包括分泌的cystourethrogram,囊镜和脊柱磁共振成像 (MRI).
主要成果:
- 核磁共振扫描显示了脊髓在T10处的高结,T10至S2处的脊髓组织缺失,S2-S4处的重的脊髓状组织缺失.
- 相关的发现包括鼻形成和多个脊椎形.
- 确定了双边V级膀-尿道逆流;排除了后部尿道.
结论:
- 分段性脊柱失生症在儿童中呈现出复杂的神经和泌尿问题.
- 在这种情况下,可以考虑保守的管理,正如这位患者所示的那样.
- 通过先进的成像技术进行早期诊断对于适当的管理计划至关重要.
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