铜缺乏性脊髓病1例报告及文献复习  

Copper deficiency myelopathy:A case report,peizhe literature review

作　　者：贾沛哲[1] 臧立会[1] 王敬华 李鹏飞[1] 熊莉 许向华[1] JIA Peizhe;ZANG Lihui;WANG Jinghua(Department of Neurology,The Hospital of 82nd Group Army of Chinese PLA,Baoding 071000,China)

机构地区：[1]中国人民解放军陆军第八十二集团军医院神经内科,河北保定071000

出　　处：《中风与神经疾病杂志》2023年第9期844-847,共4页Journal of Apoplexy and Nervous Diseases

摘　　要：铜缺乏性脊髓病(copper deficiency myelopathy,CDM)是由于铜缺乏导致的神经系统变性疾病,可引起脊髓后索、侧索及周围神经病变,出现感觉性共济失调、痉挛性瘫痪及周围神经损害等症状,同时伴有贫血和(或)中性粒细胞减少血液系统异常。CDM临床上非常罕见,少有报道,易漏诊、误诊。笔者现报告1例CDM患者的临床资料和诊治过程,并结合相关文献进行复习,以期为临床工作者提供参考。Copper deficiency myelopathy(CDM)is a degenerative disease of the nervous system as a result of copper deficiency.It can affect the posterior cord,lateral cord,and peripheral nervous system to cause sensory ataxia,spastic paralysis,and peripheral nerve damage.Anemia and/or neutropenia are among accompanying abnormalities.CDM is so rare and little reported that there is a high probability of a miss diagnosis or misdiagnosis.In this article,we present the clinical data and diagnosis and treatment process of a patient with CDM,and reviewed relevant literature,in order to provide a reference for clinical workers.

关 键 词：铜缺乏 脊髓病 脊髓亚急性联合变性 

分 类 号：R745.4[医药卫生—神经病学与精神病学]