Chronic Intractable Cough Caused by Cervical Spinal Cord Injury: A Case Report

頸脊髓損傷造成慢性難治療的咳嗽

張孟祥(Meng-Hsiang Chang) ； 江俊士(Chun-Shih Chiang) ； 洪良一(Liang-Yi Hung) ； 張正一(Cheng-Yi Chang) ； 黃建文(Chien-Wen Huang)

《胸腔醫學》 27卷2期 (2012/04) Pp. 100-104

https://doi.org/10.29806/TM.201204.0005

摘要

頸脊髓損傷是成人慢性咳嗽的少見病因之一。我們提出一位53歲的男性因為從樓梯三樓跌倒到二樓，導致第三第四節頸椎向後移位以及中央突出型椎間盤突出併發脊髓腔狹窄以及頸脊髓損傷，後來發生了四肢輕癱以及難治療的咳嗽。之後咳嗽藉由前頸椎融合手術加上脊椎內固定器以及第三第四和第四第五椎間盤切除術獲得改善，並於門診追蹤，保持穩定狀態。（胸腔醫學 2012；27：100－104）

關鍵字

頸脊髓損傷 ； 慢性咳嗽 ； 椎間盤切除術 ； 頸椎向後移位

並列摘要

Cervical spinal cord injury (SCI) is a rare cause of chronic cough in adults. We report a 53-year-old man who fell from the 3rd to the 2nd floor, who later developed tetraparesis and an intractable chronic cough. These conditions were caused by C3-4 retrolisthesis and a central herniated intervertebral disc (HIVD) at C3/4-C4/5, with narrowing of the spinal canal and SCI. The cough improved after anterior spinal fusion with spinal instrumentation and C3/4-C4/5 discectomy. The patient was continually monitored in our outpatient department, and was maintained in a stable condition. (Thorac Med 2012; 27: 100-104)

並列關鍵字

cervical spinal cord injury ； chronic cough ； discectomy ； retrolisthesis