Neurological recovery after surgical treatment of giant cervical pseudomeningoceles extending to lumbar spine associated with previous brachial plexus injury
Neurological recovery after surgical treatment of giant cervical pseudomeningoceles extending to lumbar spine associated with previous brachial plexus injury
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DOI：
10.1007/s00586-010-1387-9
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发表时间：
2010-07-01
影响因子：
2.8
通讯作者：
Minami, Akio
中科院分区：
文献类型：
--
作者：
Kotani, Yoshihisa;Abumi, Kuniyoshi;Minami, Akio
作者描述了一例28岁男性患者，在既往臂丛神经损伤后10年，由于巨大的颈部假性脊膜膨出延伸至腰椎，导致颈椎病和腰椎神经根病。术前行多层螺旋CT脊髓造影检查，评价假性脑膜膨出与蛛网膜下腔的交通。颈椎的手术治疗包括切除假性脊膜膨出和修复多节段椎板成形术和椎间孔切开术后与囊肿相通的硬脑膜缺损。术后6年，神经功能明显恢复，整个脊柱区域的囊肿完全闭塞。这是第一份报告，描述了显着的神经功能恢复后，手术治疗的巨大颈部假性脑膜膨出延伸到腰椎后，以前的臂丛神经损伤。
The authors describe a case of 28-year-old man who presented with cervical myelopathy and lumbar radiculopathy due to the giant cervical pseudomeningocele extending to the lumbar spine at 10 years after previous brachial plexus injury. To evaluate the communicating tract between pseudomeningocele and subarachnoidal space, the multidetector-row helical CT with simultaneous myelography was performed preoperatively. The surgical treatment in the cervical spine included the resection of pseudomeningocele and the repair of dural defects communicating into the cyst following multi-level laminoplasty and foraminotomies. At 6 years after surgery, the significant neurologic recovery and complete obliteration of cysts in the whole spine area were maintained. This serves as the first report describing the significant neurologic recovery after the surgical treatment of giant cervical pseudomeningocele extending to the lumbar spine after previous brachial plexus injury.