Гръбначномозъчни компресивни синдроми и други редки миелопатии: клинични прояви, класификация и диагностични затруднения. Част II
Ключови думи:
гръбначномозъчна компресия, парапареза, спинален менингеом, симптом на Бабински, TSC2-ген, сетивно проводниково ниво, миелопатия, дурална артерио-венозна фистула, невросаркоидозаАбстракт
Като причини за гръбначномозъчни компресивни синдроми (ГМКС) са представени литературни данни за спиналните менин геоми, онкологичното метастазиране в миелона и гръбначния стълб, спондилогенната структурно асоциирана миелопатия, нарушението на спиналното кръвообращение, спиналната дурална артерио-венозна фистула, спиналната форма на невросаркоидоза и др. Обръща се внимание на особеностите на анамезата и пропедевтичното неврологично изследване при ГМКС, и се илюстрат случаи от нашата практика. Разгледани са някои класификации и практически подходи за диференциране и лечение на ГМКС и лезиите на миелона.
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