由内神经质囊引起的脚下垂:一个案例报告
Abdullah Alhussein1, Mohammed AlOthman2, Nouf M Althobaiti2
1Neurosurgery, King Salman bin Abdulaziz Medical city, Madinah, SAU.
Cureus
|February 13, 2026
概括
内神经质囊可以通过压缩常见神经 (CPN) 来引起脚下垂 (FD). 这一案例凸显了在FD诊断中考虑囊的重要性,尤其是在没有创伤的情况下.
科学领域:
- 神经学 神经学
- 整形外科 整形外科 整形外科
- 手术病理学手术病理学
背景情况:
- 脚下垂 (FD) 的特点是背部屈曲功能受损,导致步态异常和跌倒风险增加.
- 内神经质囊是一种罕见的,在外围神经内发生的良性囊性病变.
- 内神经质囊和FD之间的关联不常见,但在临床上具有重要意义.
研究的目的:
- 报告一个由内神经质囊引起的急性脚下垂病例.
- 讨论这种罕见疾病的诊断挑战和管理.
- 强调在FD的差异诊断中包括质囊的重要性.
主要方法:
- 一个22岁的男性的病例报告,患有急性脚下垂和可触摸的质量.
- 临床检查显示了沿常神经 (CPN) 分布的运动软弱和感官缺陷.
- 磁共振成像 (MRI) 用于识别囊性病变.
- 手术探索,神经溶解和囊切除,并得到了他的病理学确认.
主要成果:
- 患者出现了完全的右脚下降和感觉损失,归因于压缩CPN的质囊.
- 磁力共振成像证实了靠近骨头的囊性病变.
- 手术切除囊导致术后症状改善 (疼痛和麻木).
- 运动功能的恢复并没有立即,但正在接受康复.
结论:
- 内神经质囊是一种罕见但重要的脚跌的原因,特别是在没有创伤的情况下.
- 通过MRI和外科干预的早期诊断可以缓解CPN压缩.
- 这一案例凸显了在对不明原因的脚落的差异诊断中需要考虑质囊的必要性.
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