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经外内皮注射类固醇注射后的状骨髓综合征:一个病例报告

Paula Mofor¹, Mark N Pernik¹, Emmanuel Adeyemo¹

¹University of Texas Southwestern Medical Center, Department of Neurological Surgery, Dallas, TX.

Pain medicine case reports

|November 27, 2025

概括

腰部跨内外注射类固醇注射 (TFESI) 可能导致罕见的髓梗塞,导致永久的神经缺陷. 这种并发症虽然不常见,但在为背部疼痛接受TFESI之前需要仔细考虑.

科学领域:

神经学神经学
疼痛管理疼痛管理
干预性放射学干预性放射学

背景情况:

腰部跨膜外周类固醇注射 (TFESI) 是一种经常进行的治疗持续性腰部疼痛的程序.
尽管它被广泛使用,但罕见但严重的并发症可能会发生.

研究的目的:

为了在TFESI之后呈现一个状髓梗塞病例.
通过与现有文献进行比较,评估这种罕见并发症的潜在风险因素.

主要方法:

一个病例报告,一个患者在光学指导TFESI与甲基prednisolone后发展出髓梗塞.
审查和与之前报告的类似并发症病例进行比较.

主要成果:

在手术后的一年内,患者在下肢和神经性膀/肠道功能障碍中经历了持续的感觉和力量丧失.
之前的病例也报告了类似的神经缺陷,改善程度有限,有时MRI发现延迟.

结论:

在TFESI之后,导致髓梗塞的确切机制尚不清楚.
这种罕见的并发症可能导致永久的神经缺陷,突出需要在TFESI之前仔细选择患者和进行风险评估.

关键词:

圆中枢神经综合征是什么意思心脏病发作的心脏病发作腰部脊柱腰部脊柱腰部脊柱类固醇注射注射类固醇注射

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