儿科患者中脑脊液泄漏的后侧异常脊髓:一个病例报告
Jordan M Rasmussen1, Patrick Opperman1, Afshin Salehi1
1Neurosurgery, University of Nebraska Medical Center, Omaha, USA.
Cureus
|December 11, 2025
概括
异形脊髓 (ISCH) 在儿童中很少见. 这一案例显示了使用内光素成功修复儿科ISCH的手术,从而导致神经系统完全恢复.
科学领域:
- 神经外科 神经外科
- 儿科神经学 儿科神经学
- 脊髓成像 脊髓成像
背景情况:
- 异常脊髓 (ISCH) 是一种罕见的胸部骨髓病变的原因,通常影响中年成人,腹腔带位移.
- 儿科病例和后侧持续缺陷非常罕见,经常被误诊为背脊状囊或其他大质量病变.
- 一名14岁的女孩在之前两次胸部膜切除术后出现了渐进的胸部骨髓损伤,原因是疑似状囊,没有发现任何持续缺陷.
研究的目的:
- 报告一个罕见的儿科病例的异常脊髓 (ISCH) 与一个后侧长期缺陷.
- 要突出诊断挑战和成功的手术管理的儿科ISCH.
- 为了证明管内光素在复手局部化和外科修复中的实用性.
主要方法:
- 在患有渐进性胸部骨髓病变的儿科患者中诊断ISCH.
- 使用重复成像来确定T8的左后长期缺陷与焦点带和背脑脊液 (CSF) 收集.
- 进行了确定的手术修复,涉及内光素用于局部化,微手术减少带,并进行初级硬膜关闭.
主要成果:
- 术后成像证实了脊髓的分辨率和CSF采集.
- 患者在手术干预后实现了完全的神经恢复.
- 这一案例强调了在患有异常胸部病理的儿科患者中考虑ISCH的重要性,特别是在缺少明显囊壁的背脊CSF收集的情况下.
结论:
- 在患有胸部骨髓病变和非典型发现,如背部CSF采集等儿科患者中,应考虑异常脊髓 (ISCH).
- 导管内光素是一种有价值的工具,用于在重复手术期间定位小或复发的持续缺陷.
- 带的微手术缩小与初级持续关闭相结合,代表了ISCH的最终治疗策略.
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