Full-Text Search:
Home|Journal Papers|About CNKI|User Service|FAQ|Contact Us|中文
《Chongqing Medicine》 2017-05
Add to Favorite Get Latest Update

Investigate the strategy for diagnosis and surgical treatment of acute and subacute nontraumatic spinal cord injury

Liu Biming;Hu Rong;Feng Hua;Department of Neurosurgery,Yunyang People′s Hospital;Department of Neurosurgery,Southwest Hospital,Third Military Medical University;  
Objective To summarize the clinical features,diagnosis and surgical strategies of the acute and subacute nontraumatic spinal cord injury.Methods We analyzed retrospectively 46 cases of patients with acute and subacute nontraumatic spinal cord injury,who were admitted in the southwest hospital between January 2010 and december 2015.We summarized the clinical data and the effects of the surgical treatments.Results Among the 46 patients,There were 27 males and 19 females with mean age of40.7years(10-70).They were followed up for more than 3months.Neurological function of ASIA at the initial admission included A in 9cases,B in 6,C in 12 and D in 19.There were 5hematoma patients(10.9%),11 neurilemmoma cases(23.9%),4cases of acute disc herination(8.7%),Vascular Malformation 7cases(15.2%),5meningioma patients(10.9%),glioma 10cases(21.7%)and enterogenous cyst 1case(2.2%).46 patients underwent preoperative MRI examination,followed by spinal canal exploration,lesion resection and/or decompression.Operation within 8hours,the signs and symptoms were improved in 6cases.Operation within8-24 hours were improvement in 2cases,Operation after 24 hours improvement in 25 cases.Conclusion Early MR imaging and emergency spinal canal exploration and lesion resection with or without lamina decompression surgery is effective for the treatment of patients with acute and subacute nontraumatic spinal cord injury.
【CateGory Index】: R651.2
Download(CAJ format) Download(PDF format)
CAJViewer7.0 supports all the CNKI file formats; AdobeReader only supports the PDF format.
©2006 Tsinghua Tongfang Knowledge Network Technology Co., Ltd.(Beijing)(TTKN) All rights reserved