Ventral Thoracic Spinal Cord Herniation: Clinical Image and Video Illustration of Microsurgical Treatment.
Ventral Thoracic Spinal Cord Herniation: Clinical Image and Video Illustration of Microsurgical Treatment.
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DOI：
10.1016/j.wneu.2020.06.164
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发表时间：
2020-10
影响因子：
2
通讯作者：
Liu JC
中科院分区：
文献类型：
--
作者：
Bakhsheshian J;Strickland BA;Liu JC
特发性脊髓突出是一种罕见的进行性脊髓病，可导致严重的残疾。在接下来的报告中，提出并讨论了一个胸髓腹侧突出症手术治疗的说明性病例和相关视频。脊髓突出症最常见于胸椎，其特征是通过硬脑膜的缺陷使脊髓腹侧移位。随着时间的推移，脊髓腹侧突出会影响其血管灌流，导致进一步的缺血性损伤。病因尚不清楚，但怀疑是后天或先天性的。已经报道了多种手术技术，目的是分离脐带并采取辅助措施降低再突出的风险。胸段脊髓突出症的手术治疗具有很大的风险，但大多数病例的神经学结果总体上是有利的，并有改善的报道。
Idiopathic spinal cord herniation is a rare cause of progressive myelopathy that can result in severe disability. In the following report, an illustrative case and associated video in the surgical management of ventral thoracic spinal cord herniation is presented and discussed. Spinal cord herniation is most commonly observed in the thoracic spine and is characterized by ventral displacement of the spinal cord through a defect in the dura. Over time ventral herniation of the spinal cord can compromise its vascular perfusion, resulting in further ischemic injury. The etiology is unclear, but suspected to be either acquired or congenital. Multiple surgical techniques have been reported with the goal in detethering the cord and taking adjunctive measures in reducing the risk for reherniation. Surgical management of thoracic spinal cord herniation carries great risks, however neurological outcomes are generally favorable with improvements reported in the majority of cases.
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