轮骨髓溶解诱导的单侧坐骨神经病变:一个案例研究和临床解剖审查
Nicholas J Hora1, Felix E Chukwudelunzu2
1Department of Family Medicine, Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Eau Claire, Wisconsin.
WMJ : official publication of the State Medical Society of Wisconsin
|November 6, 2025
概括
轮骨髓溶解会导致神经损伤,特别是坐骨神经病变,导致四肢疲软. 及时诊断对于管理这些罕见但严重的并发症至关重要.
科学领域:
- 神经学 神经学
- 整形外科 整形外科 整形外科
背景情况:
- 肌肉衰竭的状况,通常呈现为肌肉酶的升高,并且通常在没有并发症的情况下消失.
- 然而,少见的情况可能会与各种神经病变有关,包括单独神经病变和外围神经病变.
研究的目的:
- 报告与单边坐骨神经病变相关联的狂肌溶解病例.
- 讨论严重的狂犬病病例中压缩性神经病变的可能性.
主要方法:
- 一个28岁的男性在长时间固定后出现左腿软弱的案例研究.
- 临床评估,包括对拉布地质溶解和隔间综合征的评估.
- 坐骨神经临床综合征的解剖学描述和综述.
主要成果:
- 患者在长时间固定后出现左腿的焦点软弱.
- 诊断出了轮骨髓溶解,伴随着单边的坐骨神经病变.
- 没有发现隔间综合征的证据.
结论:
- 严重的狂犬病可以导致压缩性神经病变,即使没有隔间综合征.
- 压缩性单单性神经病变,特别是影响坐骨神经,应考虑在带有肌体样式四肢虚弱的狂肌痛病例中.
相关概念视频
01:26Nephrotic Syndrome II : Assessment and Medical Management
187
IntroductionNephrotic syndrome is a kidney disorder marked by excessive protein loss in the urine, leading to various systemic complications. This condition often results from damage to the glomeruli—the kidney's filtering units—causing proteinuria, low blood protein levels, and fluid retention. Understanding the assessment, diagnosis, and management of nephrotic syndrome is essential for effective treatment and prevention of further kidney damage.AssessmentPatient History: Document...
187
01:24Nephrotic Syndrome I : Introduction
484
Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
484