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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.82.3.567fe4a39c4-e61d-467a-9f05-7f18f7ff3565
名前 / ファイル | ライセンス | アクション |
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18_Nishimura.pdf (50.9 MB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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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 | |||||
言語 | en | |||||
著者 |
Nishimura, Yusuke
× Nishimura, Yusuke× Hara, Masahito× Natsume, Atsushi× Wakabayashi, Toshihiko× Ginsberg, Howard J |
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アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
権利 | ||||||
言語 | en | |||||
権利情報Resource | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |||||
権利情報 | Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International | |||||
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 | ||||||
内容記述タイプ | Abstract | |||||
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. | |||||
言語 | en | |||||
出版者 | ||||||
出版者 | Nagoya University Graduate School of Medicine, School of Medicine | |||||
言語 | en | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
出版タイプ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
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 | PISSN | |||||
収録物識別子 | 0027-7622 | |||||
ISSN(Online) | ||||||
収録物識別子タイプ | EISSN | |||||
収録物識別子 | 2186-3326 | |||||
書誌情報 |
en : Nagoya Journal of Medical Science 巻 82, 号 3, p. 567-577, 発行日 2020-08 |
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著者版フラグ | ||||||
値 | publisher |