Rapidly progressive foot drop: an uncommon and underappreciated cause of Chiari I malformation and holocord syrinx.
Rapidly progressive foot drop: an uncommon and underappreciated cause of Chiari I malformation and holocord syrinx.
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DOI：
10.1136/bcr-2013-009644
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发表时间：
2013-07-29
期刊：
影响因子：
0.9
通讯作者：
Kaur, Manmeet
中科院分区：
文献类型：
--
作者：
Panda, Akhila Kumar;Kaur, Manmeet
我们描述了一个16岁的男孩的情况下，提出了快速进行性右脚下垂没有任何诱发疾病或先前的事件。神经传导研究无贡献，针肌电图定位近端病变，提示脊柱神经影像学。全脊柱及全脑MRI显示基亚里I型畸形沿着脊髓全脊髓压迫症。患者接受了枕下颅骨切除术和C1椎板切除术，并进行了硬膜成形术以减压枕骨大孔。他对手术干预有反应，没有进一步并发症。
We describe a case of a 16-year-old boy presented with rapidly progressive right foot drop without any predisposing illness or antecedent events. Nerve conduction study was non-contributory and needle electromyography localised proximal lesion which prompted spine neuroimaging. MRI of whole spine and brain revealed Chiari I malformation along with holocord syringomyelia. The patient underwent suboccipital craniectomy and C1 laminectomy with duroplasty decompressing the foramen magnum. He responded to surgical intervention without further complications.