頸椎脊髓空洞症－病例報告

Syringomyelia of the Cervical Spine - Case Report

成和平(He-Ping Cheng) ； 李明儒(Ming-Ju Lee) ； 楊怡祥(Yi-Shyang Young)

《中華民國耳鼻喉科醫學會雜誌》 29卷2期 (1994/04) Pp. 149-152

https://doi.org/10.6286/1994.29.2.149

摘要

脊髓空洞是一種脊髓退化成空腔的慢性病，常發生在頸部，病因不明。本科眩暈門診於1992年經歷一名48歲男性病人，主訴八、九年來雙手持續麻感，並有兩次跌倒的記錄。經核磁共振掃描之後發現，頸部第4至第7節脊髓已呈空洞化。其後轉至神經外科接受手術治療。目前患者手麻感仍未消失，唯不再跌倒。因為罕見，特提出報告。

關鍵字

脊髓空洞症 ； 核磁共振掃描

並列摘要

Syringomyelia is a rare disease with a central cavitation of the spinal cord of an undetermined cause. It is a chronic progressive degenerative disorder that usually occurs in the cervical region. The symptom frequently presents as loss of pain and thermal sense on the neck, shoul-der, and arms. In the terminal stage, the sensory dissociation may appear on the trunk and legs. The falling-down symptom may be due to leg weakness caused by water-hammer effect.
A 48-year-old male, with numbness of the hands and arms for 8-9 years, visited our clinic in 1992. He had experienced falling down for two times , and had numb-ness sensation over the chest wall and palms. Physical examination revealed sensa-tion loss on the limbs. Atrophy of the right first interosseous muscles and paresthe-sia of the right palm were noted. Deep tendom reflexes also became increased on bilateral upper limbs. Neck MRI revealed syringomyelia of the cervical cord (C4-C7).
After neurosurgical operation, the numbness of the limbs still persists but the falling-down symptom has disappeared. MRI is an excellent and non-invasive device for the diagnosis of syringomyelia at present.

並列關鍵字

syringomyelia ； MRI