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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 82(2)

Postoperative iatrogenic spinal cord herniation: three case reports with a literature review

https://doi.org/10.18999/nagjms.82.2.383
https://doi.org/10.18999/nagjms.82.2.383
d10c1443-d171-4281-b0fc-5d4bd44ddc95
名前 / ファイル ライセンス アクション
22_Nakashima.pdf 22_Nakashima.pdf (23.0 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2020-06-01
タイトル
タイトル Postoperative iatrogenic spinal cord herniation: three case reports with a literature review
著者 Nakashima, Hiroaki

× Nakashima, Hiroaki

WEKO 99388

Nakashima, Hiroaki

Search repository
Ishikawa, Yoshimoto

× Ishikawa, Yoshimoto

WEKO 99389

Ishikawa, Yoshimoto

Search repository
Kato, Fumihiko

× Kato, Fumihiko

WEKO 99390

Kato, Fumihiko

Search repository
Kanemura, Tokumi

× Kanemura, Tokumi

WEKO 99391

Kanemura, Tokumi

Search repository
Shinjo, Ryuichi

× Shinjo, Ryuichi

WEKO 99392

Shinjo, Ryuichi

Search repository
Ando, Kei

× Ando, Kei

WEKO 99393

Ando, Kei

Search repository
Kobayashi, Kazuyoshi

× Kobayashi, Kazuyoshi

WEKO 99394

Kobayashi, Kazuyoshi

Search repository
Ishiguro, Naoki

× Ishiguro, Naoki

WEKO 99395

Ishiguro, Naoki

Search repository
Imagama, Shiro

× Imagama, Shiro

WEKO 99396

Imagama, Shiro

Search repository
キーワード
主題Scheme Other
主題 iatrogenic spinal cord herniation
キーワード
主題Scheme Other
主題 myelopathy
キーワード
主題Scheme Other
主題 postoperative complication
キーワード
主題Scheme Other
主題 spinal cord herniation
抄録
内容記述 Although a majority of spinal cord herniation reportedly occurs idiopathically, postoperative iatrogenic spinal cord herniation is rare. Therefore, the incidence rate, pathogenic mechanism, and clinical outcomes are not clear. We present three cases of postoperative iatrogenic spinal cord herniation and present a literature review. Our data base included 32253 patients who underwent spinal surgery, and among these patients, 3 showed postoperative spinal cord herniation. Postoperative spinal cord herniation was observed in a 55-year-old man and a 60-year-old man. Both these patients underwent cervical laminoplasty for degenerative cervical myelopathy; however, intraoperative dural tear was reported. They presented with severe quadriplegia and sensory disorders at 8 years and 2 months after initial surgery. The third case of postoperative spinal cord herniation was of a 47-year-old woman who underwent Th11/12 schwannoma resection. Her neurological symptoms did not improve after tumor resection, and MRI at 2 months after surgery revealed spinal cord herniation. All the 3 patients underwent spinal cord reduction surgery; one patient showed sufficient neurological improvement while 2 patients with cervical spinal cord herniation showed limited neurological improvement due to preoperative severe quadriplegia. Although postoperative iatrogenic spinal cord herniation is a relatively rare pathology, careful observation with postoperative MRI is required in cases of patients with new neurological symptoms after dural injury and durotomy.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.82.2.383
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/822.html
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ ISSN
収録物識別子 2186-3326
書誌情報 Nagoya Journal of Medical Science

巻 82, 号 2, p. 383-389, 発行日 2020-05
著者版フラグ
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