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題 名 | Extended Cord Injury in Acute Traumatic Central Cord Syndrome after Operation=急性中央脊髓症候群經前位頸椎減壓及內固定手術後產生擴張性脊髓水腫 |
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作 者 | 謝政達; 林建和; 劉敏英; 朱大同; | 書刊名 | Journal of Medical Sciences |
卷 期 | 29:4 2009.08[民98.08] |
頁 次 | 頁221-224 |
分類號 | 416.292 |
關鍵詞 | 中央脊髓症候群; 脊髓水腫; Central cord syndrome; Anterior cervical discectomy and fusion; Magnetic resonance imaging; Myelopathy; |
語 文 | 英文(English) |
英文摘要 | Central cord syndrome is the most common incomplete spinal cord injury, and it often occurs in patients suffering from a hyperextension injury. Early surgery has been advocated to improve the outcome and neurological function. However, extended spinal cord injury following anterior cervical discectomy and fusion for central cord syndrome rarely occurs and is seldom reported in the literature. We report a 61-year-old man who suffered from a hyperextension injury, which was diagnosed as traumatic central cord syndrome. Because of the ensuing instability and cord compression, he underwent anterior cervical discectomy and fusion. However, more severe myelopathy was observed postoperatively and extended cord injury was diagnosed based on the expansion of intramedullary high-intensity signal on T2-weighted magnetic resonance images. Patients and surgeons need to be informed of this uncommon but now recognized complication after anterior cervical discectomy and fusion for traumatic central cord syndrome. |
本系統中英文摘要資訊取自各篇刊載內容。