脊髓梗死的病因学、临床特征及预后(附3例报告和232例文献分析)  

Spinal cord infarction:etiology,clinical features and outcome. Report of three cases and analysis of literatures

作　　者：寿艳红[1] 樊东升[1] 赵淑清[1] 肖卫忠[1] 谢汝萍[1] 

机构地区：[1]北京大学第三医院神经内科,北京100083

出　　处：《中风与神经疾病杂志》2006年第1期78-81,共4页Journal of Apoplexy and Nervous Diseases

摘　　要：目的分析脊髓梗死的病因、临床特征及预后。方法分析收治的3例脊髓梗死患者及文献报道的232例脊髓梗死病例的病因、临床特征及其预后。结果脊髓梗死呈急性或亚急性起病、病变水平神经根痛、病变节段以下瘫痪和分离性感觉障碍及植物神经功能障碍,MRI可显示病变,治疗原则同脑梗死。恢复期49.1%患者的神经功能缺损无明显改善。结论脊髓梗死临床上少见,依据其临床表现,结合MRI表现,可作出诊断,其预后与起病时神经功能缺损的严重程度密切相关。Objective To analysis the etiology,clinical features and outcome of spinal cord infarction, Methods Clinical data and outcome of 3 cases of the disease and related literatures were retrospective analyzed. Results The clinical features were acute or subacute onset ,there was radicular pain,paralysis ,dissociated sensory disturbance and autonomic dysfunction, MRI could show the damage, The principle of the treatment was similar to cerebral infarction. The neurological deficits in 49. 1% of cases had no improvement, Conclusion Spinal cord infarction is rare in clinic,and its diagnosis should be made by its clinical and MRI features, The outcome mainly depends on the initial severity of the neurological deficits.

关 键 词：脊髓梗死 病因 临床特征 预后 

分 类 号：R744.1[医药卫生—神经病学与精神病学]