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在脊髓刺激器试验中,在插入后进行压缩性宫胸脊柱外周血瘤

Alec M Giakas^1,2, Molly E Milano², Jeffrey A Gehret^3,2

¹Rothman Orthopaedic Institute, Philadelphia, Pennsylvania, USA alecgiakas@gmail.com.

BMJ case reports

|January 12, 2026

概括

脊髓刺激器 (SCS) 植入可以导致外周血液瘤,特别是在肺高血压患者中. 早期减压手术在SCS试验后出现严重并发症的患者中缓解了症状.

科学领域:

神经外科神经外科
疼痛管理疼痛管理
放射学放射学是一门学科.

背景情况:

脊髓刺激器 (SCS) 用于耐火性背痛和根性症状.
肺高血压是一种重要的并发症,可能会影响外科手术的结果.
脊柱外血瘤是一种罕见但严重的并发症,与SCS程序相关.

研究的目的:

在脊髓刺激器试验后报告脊髓外周血瘤病例.
突出肺高血压与SCS手术期间增加出血风险之间的潜在关联.
强调在接受SCS.患者的植入前成像的重要性.

主要方法:

案例报告的审查.
审查患者的病史,包括肺高血压.
对MRI检测结果的分析表明脊髓外周层血瘤和带压缩.
手术干预的文件 (减压和血液瘤疏散).

主要成果:

一名40多岁的男性患者患有肺高血压,在SCS试验后发生了大脊髓外周血瘤 (C6-L2).
血瘤导致了显著的神经缺陷,包括下肢虚弱,感官丧失和尿路滞留.
凝血研究是正常的,这表明与肺高血压相关的血管干扰是可能的原因.
新出现的脊柱减压和血液瘤疏散导致了症状的消失.

结论:

这一案例表明,肺高血压可能会增加在SCS手术期间外周流血的风险.
植入前MRI对于详细的解剖评估至关重要,以减轻潜在的并发症.
迅速的手术干预对于管理脊柱外周层血瘤和改善神经结果至关重要.

关键词:

背部疼痛背部疼痛整形外科和创伤外科手术整形医生整形医生脊髓是指脊髓中的一些部分.外科手术手术手术

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