查詢結果分析
相關文獻
- 脊髓內結核瘤引起之雙下肢無力:病例報告
- 下肢癱瘓之功能復健機
- Necrotizing Encephalitis with Paraplegia--a Case Report
- Functional Performances for Paraplegia with Three Different Types of Walking Orthoses: A Case Report
- Modeling of the Fatigue Process in Electrically-elicited Contractions of Lengthened and Shortened Muscles
- 一位創傷病患在入院後發生下肢癱瘓原因之探討
- 輔助下肢癱瘓者站立訓練之電刺激器研發
- Development of FES-Cycling System with Closed-Loop Control
- 脊髓損傷病人上肢疼痛之探討--初步報告
- 患脊髓灰白質炎後之長期下肢癱瘓患者在上肢最大運動時之心肺功能
頁籤選單縮合
題 名 | 脊髓內結核瘤引起之雙下肢無力:病例報告=Paraplegia Caused by Intramedullary Tuberculoma: A Case Report |
---|---|
作 者 | 楊景堯; 梁蕙雯; 王顏和; 廖維華; | 書刊名 | 臺灣復健醫學雜誌 |
卷 期 | 39:1 2011.03[民100.03] |
頁 次 | 頁45-51 |
分類號 | 415.945 |
關鍵詞 | 脊髓內結核瘤; 脊髓神經病變; 下肢癱瘓; Spinal intramedullary tuberculoma; Myelopathy; Paraplegia; |
語 文 | 中文(Chinese) |
中文摘要 | 脊髓內結核瘤(spinal intramedullary tuberculoma)是結核感染少見的臨床表現,多會合併肺結核發生,其症狀相當多樣,包括漸進或急性的脊髓神經病變(myelopathy)表現。本病例報告描述其治療與復健過程,以供醫師診治時之參考。本個案爲五十四歲男性,突然發生中背部疼痛、下肢無力及解尿困難。其胸椎磁振造影檢查(magnetic resonance imaging)發現第七胸椎處胸髓內有一腫瘤,痰液檢查診斷爲開放性肺結核感染者,醫師隨即以抗結核藥物治療,服用抗結核藥物治療後,個案的神經症狀有暫時改善。但一個月後又惡化,經手術探查並切除腫瘤後,下肢肌力及排尿功能逐漸改善。本疾病在治療上往往需結合手術與抗結核藥物,若經過完整療程,其整體預後良好。在臺灣結核病仍相當盛行,希望醫護人員在閱讀本文後,能對結核病及其造成之脊髓損傷有進一步的認識,並提供病患更好的診斷及治療。 |
英文摘要 | Tuberculosis is one of the oldest diseases known to affect humans and is a major cause of death worldwide. This disease, which is caused by bacteria of the Mycobacterium tuberculosis complex, usually affects the lungs, although other organs are involved in up to one-third of cases. If properly treated, tuberculosis caused by drug-susceptible strains is curable in virtually all cases. Spinal tuberculosis (Pott's disease or tuberculous spondylitis) often involves two or more adjacent vertebral bodies, and solitary tuberculoma of the spinal cord as part of a generalized infection is a rarity. Here, we report the case of a 54-year-old man who suffered sudden bilateral lower-limb weakness. Incidentally, open pulmonary tuberculosis was diagnosed by sputum smear examination and typical chest X-ray findings. The patient was placed under isolation and anti-tuberculosis medication was administered immediately, upon which the lower-limb weakness appeared initially improved. However, deterioration in muscle strength occurred one month later, and magnetic resonance imaging (MRI) revealed an intramedullary tumor of the spinal cord at the T7 level. A laminectomy with excision of the tumor was performed, and the subsequent pathological findings were compatible with tuberculoma. Following surgery, the patient underwent a complete course of anti-tuberculosis medication and an intensive rehabilitation program. He exhibited excellent functional recovery and achieved independence in activities of daily living. There was no evidence of recurrence after 6 months of follow-up. The outcome of this case indicates that immediate diagnosis, proper surgical intervention and medication in combination with an intensive rehabilitation program were all crucial to the successful treatment of this rare disease. |
本系統中英文摘要資訊取自各篇刊載內容。