脊髓梗塞呈现为Cauda Equina综合征与同时发生的肺栓塞:一个病例报告
Aysha Rajeev1, Mintu Mariam Baby2, Saurav Krishnan3
1Trauma and Orthopaedics, Gateshead Health Foundation NHS Trust, Gateshead, GBR.
Cureus
|November 4, 2025
概括
脊髓梗塞可以模仿尾巴马体综合征,延迟诊断. 早期识别和血管差异对于管理这种罕见的疾病和并发性肺栓塞至关重要.
科学领域:
- 神经学 神经学
- 血管医学 血管医学
- 放射学 放射学是一门学科.
背景情况:
- 脊髓梗塞 (SCI) 是一种罕见的神经紧急情况.
- 它经常表现出重叠的症状与尾巴马体综合征 (CES) 的症状重叠,使早期诊断复杂化.
- 同时发生的肺栓塞 (PE) 可以进一步掩盖临床情况.
研究的目的:
- 为了突出SCI的诊断挑战,作为CES.
- 强调在非压缩CES中考虑血管病因的重要性.
- 强调需要及时诊断和管理SCI和相关的血栓塞栓症.
主要方法:
- 一个58岁的妇女被怀疑患有CES的案例报告.
- 腰椎和胸的初始和重复的MRI.
- 对疑似PE的CT肺血管图 (CTPA) 进行检查.
- 实验室检查血栓友爱症的情况.
主要成果:
- 最初的MRI显示了患有CES症状的患者的退行性变化,而不是压缩性病理.
- 神经状态迅速恶化,重复的MRI证实脊髓梗塞.
- CTPA揭示了一个式肺栓塞,并检测到抗脂抗体.
- 患者正在接受激素替代疗法和GLP-1药物,导致原血栓状况.
结论:
- 保持CES表型的血管差异诊断,特别是在非压缩性MRI发现的情况下.
- 当神经症状发展时,请考虑在早期重复MRI.
- 评估系统性血栓栓塞和前血栓风险因素,以指导脊髓梗塞的紧急管理和随访.
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