疑似脊髓病变的延髓外侧梗死一例并文献复习

Lateral medullary infarction resembling myelopathy:a case report and literature review

延髓外侧梗死在临床中发生率较高,主要表现为交叉性感觉障碍,而表现为感觉平面节段性发展的延髓外侧梗死罕见,且易与脊髓病变相混淆。作者报道1例疑似脊髓病变的延髓外侧梗死患者的临床资料,并结合既往文献对伴有感觉障碍平面的延髓外侧梗死的分类、梗死部位、责任血管、病因、治疗方法及预后进行分析,为诊治类似病例提供参考。

The incidence of lateral medullary infarction is higher in clinical practice,which is mainly manifested as crossed sensory dysfunction,while the lateral medullary infarction with segmental development of sensory level is rare and easily confused with myelopathy.In this paper,we report the clinical data of a patient with lateral medullary infarction resembling myelopathy,and analyzes the classification,infarct site,responsible vessel,etiology,treatment and prognosis of lateral medullary infarction with sensory dysfunction level in combination with previous literature,so as to provide reference for the diagnosis and treatment of similar cases.