带绳子综合征在青春期急性发作,伴有创伤 - 一个案例报告
1Department of Neurosurgery, Valley Children's Hospital, Madera, CA, USA. Erik.C.Brown@kp.org.
概括
创伤可能会加剧未被诊断的绑定带综合征 (TCS),这是一种影响脊髓的疾病. 早期识别脊柱缺陷对于及时治疗和解决诸如动力衰竭等症状至关重要.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 发展生物学 发展生物学
背景情况:
- 带带综合征 (TCS) 是一种先天性疾病,其中脊髓与周围组织异常连接.
- 未被诊断的TCS可能会导致渐进的神经缺陷,经常被创伤加剧.
- 一个先天性皮肤鼻通道可能是潜在的脊柱异常的指标.
研究的目的:
- 在以前未被识别的患者中报告了创伤加剧的带综合征的第一个详细病例.
- 强调在患有创伤后神经症状的患者中识别先天性脊柱缺陷的重要性.
- 强调在无法解释的膀或肠道功能障碍的情况下,下背部检查的诊断价值.
主要方法:
- 一个17岁的女性的病例报告,在摔倒后出现了严重的动力衰竭和下肢麻醉.
- 身体检查显示背部下部有一个先天性红血斑.
- 诊断工作包括成像,以确定潜在的脊柱异常.
- 涉及选择性脱的手术干预.
主要成果:
- 这名患者被诊断为带绳子综合征 (TCS),原因是皮肤鼻道,脂质和低矮的骨.
- 神经症状,包括严重的动脉和痛苦的刺痛,在手术脱后完全消失.
- 患者的潜在疾病得到了成功的治疗,导致完全康复.
结论:
- 创伤可以揭露或加剧以前未被识别的带综合征.
- 在患有新发的神经缺陷的患者中,应怀疑先天性脊柱缺陷,特别是在创伤后.
- 检查下背部是否存在先天性异常对于评估无法解释的膀/肠功能障碍至关重要,以排除TCS.
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