脊髓刺激试验后的胸脊椎体外血腫:一个病例报告
Chiemeka Uwakwe1, Sujith Swarna1, Sima Mofakham1,2
1Department of Neurological Surgery, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA.
Journal of spine surgery (Hong Kong)
|February 9, 2026
概括
本病例报告详细介绍了一种罕见的脊髓下皮质血瘤 (SSDH),发生在脊髓刺激 (SCS) 后. 及时诊断和手术疏散对于患者的功能恢复至关重要,突出了SCS手术的潜在风险.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 脊髓刺激 脊髓刺激
背景情况:
- 脊柱体内血瘤 (SSDH) 是一种罕见的疾病,涉及到囊内血液的积累.
- 它可能是创伤,手术或血管问题的结果,常常被抗凝药加剧.
- 在脊髓刺激 (SCS) 后的神经动脉性血瘤估计为0.32%,内腔病理异常罕见.
研究的目的:
- 报告第一个经过无并发性脊髓刺激 (SCS) 程序的脊髓下皮质血瘤 (SSDH) 病例.
- 讨论这种罕见并发症的潜在病因和治疗方法.
- 强调及时诊断和干预对于预防神经损伤的重要性.
主要方法:
- 研究了一例78岁的男性经历SCS试验后的虚弱和步行不稳定的病例.
- 磁共振成像 (MRI) 用于诊断脊髓下皮质血瘤和相关发现.
- 患者接受了细膜切除和血液瘤疏散,随后进行了功能恢复评估.
主要成果:
- 该患者在SCS试验后一个月出现了亚急性骨髓病症症状.
- 核磁共振扫描显示了内出血和T2-T3.3处的压缩性腹腔内血瘤.
- 患者在手术疏散血瘤后功能恢复,没有发现凝血病变或血管病变.
结论:
- 这是第一个经过无并发性脊髓刺激 (SCS) 后报告的脊髓下皮质血瘤 (SSDH) 病例.
- 潜在的原因包括在放置期间的外周外伤,导致血管新生反应和血液瘤形成.
- 早期诊断和手术减压对于缓解神经系统缺陷至关重要.
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