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患有宫部分神经肠道囊引起的肢体衰弱的儿童:一个病例报告
Jiangli Wen1, Qifan Hou, HaiBin Leng
1Department of Neurosurgery, Changde Hospital, Xiangya School of Medicine, Central South University (The First People's Hospital of Changde City), Changde, People's Republic of China.
Medicine
|December 10, 2025
概括
这种病例突出了罕见的儿科神经肠道囊,导致部疼痛和四肢虚弱. 完整的手术切除导致显著的症状改善,强调早期诊断和干预.
科学领域:
- 儿科神经外科 儿科神经外科
- 发育神经学 发育神经学
- 产生的脊柱异常 产生的脊柱异常
背景情况:
- 神经肠道囊是一种罕见的先天性病变,由神经管和内皮的不完全分离引起.
- 通常在部和胸部脊柱中发现,儿科病例异常罕见.
- 不同的临床表现需要对早期诊断和干预高度怀疑.
研究的目的:
- 报告一个罕见的儿科神经肠道囊病例.
- 强调MRI的诊断实用性和手术切除的疗效.
- 要强调考虑神经肠道囊在患有神经缺陷的儿科部疼痛时的重要性.
主要方法:
- 一个3岁的男孩出现了部疼痛,运动能力受限和四肢虚弱.
- 宫脊椎MRI显示了一个腹腔囊性病变,暗示着神经肠道囊.
- 在全身麻醉下进行了囊的手术切除,并进行了手术内监测.
主要成果:
- 完成了神经肠道囊的完整手术切除.
- 手术后的MRI证实了显著的脊髓减压.
- 患者表现出肢体强度的大幅恢复和部疼痛的缓解.
结论:
- 儿科神经肠道囊虽然很少见,但应考虑在患有部疼痛和神经功能障碍的儿童中使用.
- 磁共振成像对于诊断至关重要,完全的手术切除仍然是主要的治疗方法.
- 术内神经生理监测可以尽量减少切除期间神经损伤的风险.
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