DELAYED MYELOPATHY AFTER TRIVIAL NECK INJURY IN A PATIENT WITH A CERVICAL NEURENTERIC CYST

被引：12

作者：

MIDHA, R

GRAY, B

BECKER, L

DRAKE, J

机构：

[1] UNIV TORONTO,HOSP SICK CHILDREN,DEPT SURG NEUROSURG,DIV NEUROSURG,TORONTO,ON M5G 1X8,CANADA

[2] UNIV TORONTO,HOSP SICK CHILDREN,DEPT NEURORADIOL,TORONTO,ON M5G 1X8,CANADA

[3] UNIV TORONTO,HOSP SICK CHILDREN,DEPT NEUROPATHOL,TORONTO,ON M5G 1X8,CANADA

来源：

CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES | 1995年 / 22卷 / 02期

关键词：

D O I：

10.1017/S0317167100040269

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: Neurenteric cysts are rare spinal lesions of congenital origin. They usually present insidiously with a long history of local spinal pain, radiculopathy and myelopathy. We report a 14-year-old male with a high cervical neurenteric cyst who developed a progressive myelopathy after minor neck trauma. Full recovery followed a partial cyst excision and decompressive procedure. Significance and conclusion: The possible pathogenic mechanisms for this unusual presentation include hemorrhage into the cyst, sudden mechanical compression from abnormal spinal movement of a chronically distorted and compressed spinal cord, or an increase in the size of the cyst secondary to accumulation of cyst fluid. In this case a small increase in the cyst size may have resulted in increased mechanical distortion and spinal cord dysfunction on a compressive and ischemic basis.

引用

页码：168 / 171

页数：4

共 13 条

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