Спинальная ишемия: реабилитационный потенциал

Спинальная ишемия: реабилитационный потенциал

Автор: Толстая С.И., Белопасов В.В., Чечухин Е.В.

Журнал: Клиническая практика @clinpractice

Рубрика: Клинические случаи

Статья в выпуске: 4 т.15, 2024 года.

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Обоснование. Спинальная миелоишемия - редкое тяжёлое неврологическое заболевание, сопровождающееся высоким уровнем инвалидизации и большими социально-экономическими издержками из-за возникших в остром периоде осложнений. Причиной её развития могут быть сосудистые мальформации, спинальный инсульт, экстра- и интрамедуллярные опухоли, компрессия спинного мозга при переломе позвонка, межпозвонковой грыже, стенозе позвоночного канала в шейном отделе, врачебных манипуляциях, нарушении сегментарного кровообращения при анестезии, люмбальной пункции, оперативных вмешательствах. Описание клинического случая. В представленном клиническом наблюдении даётся описание ятрогенного осложнения, случившегося у пациента в возрасте 52 лет после дискэктомии и установки протеза диска в связи с развитием у него диск-радикулярного и спинального конфликта, обусловленного дорсомедиальной межпозвонковой грыжей С5/С6, клиническими проявлениями которого, помимо боли, была возникшая слабость в левой руке, причинно связанная с очагом интрамедуллярной ишемии на одноименной стороне. В раннем постоперационном периоде выявлен асимметричный тетрапарез с преобладанием в дистальных отделах левой руки и нарушением функции тазовых органов, возникший из-за расширения зоны ишемии серого и белого вещества в передних отделах нижних шейных сегментов спинного мозга.

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Дискэктомия, спинальный инсульт, миелоишемия, реабилитация

Короткий адрес: https://sciup.org/143183759

IDR: 143183759   |   DOI: 10.17816/clinpract636207

Список литературы Спинальная ишемия: реабилитационный потенциал

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