纤维软骨的栓塞,脊髓梗死的诊断的原因;文学评论、新诊断标准、机制(P5.120)

文摘

背景:Fibro-Cartilaginous栓塞(FCE)替代脊髓梗死的原因之一。大多数脊髓梗死是由于主动脉和主动脉手术病理特征。1FCE refers to the migration of fibro-cartilaginous nucleus pulposus material through the nearby vasculature to embolize into one of the spinal cord vessels. It was first described by Naiman in 1961 in a 15yr old boy who developed quadriplegia shortly after suffering a trivial fall on his back during a basketball game.2 Since then numerous cases have been reported. We suspect that FCE is more common than presumed and is rather underdiagnosed due to the vagueness surrounding its clinical diagnosis.方法:进行文献检索FCE考试的案例报告。PubMed,科克伦中央登记和钢丝搜索关键字“fibro-cartilaginous”,髓核”、“栓塞”、“脊椎”、“inter-vertebral盘”、“梗死”、“中风”、“截瘫、四肢瘫痪”、“脊髓病”。这个检索41个临床病理证实(表1)和26 suspected3病例。十篇文章从不同的外语翻译,41病理确诊病例进行了综述。结果:FCE考试适用于临床诊断方案,扣除,演示文稿的所有病理确诊病例。当前的疾病诊断标准模拟FCE考试以及代表其鉴别诊断集成。结论:我们有理由怀疑FCE考试比报道更常见。我们讨论这些原因而回顾FCE考试根据当前文学的主题并提出其临床诊断标准。

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