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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(3)

Complete resection and untethering of the cervical and thoracic spinal dermal sinus tracts in adult patients

https://doi.org/10.18999/nagjms.82.3.567
https://doi.org/10.18999/nagjms.82.3.567
fe4a39c4-e61d-467a-9f05-7f18f7ff3565
名前 / ファイル ライセンス アクション
18_Nishimura.pdf 18_Nishimura.pdf (50.9 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2020-09-04
タイトル
タイトル Complete resection and untethering of the cervical and thoracic spinal dermal sinus tracts in adult patients
著者 Nishimura, Yusuke

× Nishimura, Yusuke

WEKO 101119

Nishimura, Yusuke

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Hara, Masahito

× Hara, Masahito

WEKO 101120

Hara, Masahito

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Natsume, Atsushi

× Natsume, Atsushi

WEKO 101121

Natsume, Atsushi

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Wakabayashi, Toshihiko

× Wakabayashi, Toshihiko

WEKO 101122

Wakabayashi, Toshihiko

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Ginsberg, Howard J

× Ginsberg, Howard J

WEKO 101123

Ginsberg, Howard J

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キーワード
主題Scheme Other
主題 dermal sinus tract
キーワード
主題Scheme Other
主題 cervical spine
キーワード
主題Scheme Other
主題 thoracic spine
キーワード
主題Scheme Other
主題 tethered cord
キーワード
主題Scheme Other
主題 complete resection
抄録
内容記述 Dermal sinus tracts (DSTs) of the cervical and thoracic spine are extremely rare, particularly in adult patients because diagnosis is typically made in the early stage after birth by pediatricians. These cases should be treated surgically as soon as possible to prevent neurological sequelae. This report describes two rare adult cases with cervical and thoracic spine DSTs. The first patient presented with back pain and headache, whose skin lesion had been long known, but disregarded since birth. The second patient had long suffered from residual cervical myelopathy from the prior incomplete surgical treatment. Both cases had these sinus tracts excised completely and had spinal cord untethered successfully without any neurological deterioration. There has been a trend toward earlier diagnosis of these entities, but still some cases that were diagnosed in a delayed fashion or underwent incomplete treatment are reported. Improper management during childhood could lead to irreversible neurological deficit caused by spinal cord tethering and/or direct compression due to DSTs-associated tumors. The early detection and prompt surgical intervention improve the chance of a good surgical outcome. Furthermore, complete excision of the sinus tracts and associated tumors could help prevent future bacterial contamination and recurrence.
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.82.3.567
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/823.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 3, p. 567-577, 発行日 2020-08
著者版フラグ
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