b细胞淋巴母细胞淋巴瘤硬膜外肿块引起的术前及术后并发症(附1例报告)

Q Medicine

Neurosurgery Quarterly Pub Date : 2016-02-01 DOI:10.1097/WNQ.0000000000000144

Si-qing Huang, Shuhui Gong, Jia-gang Liu

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引用次数: 0

摘要

本文的目的是提出一个13岁的病人，双侧下肢瘫痪和膀胱失禁在一周内迅速进展。脊柱磁共振成像(MRI)显示一个巨大的硬膜外肿块，从C6延伸到T6，并累及棘旁软组织。术后组织病理学检查证实肿块为b细胞淋巴母细胞淋巴瘤。由于术后出现了一些并发症，术前症状未得到缓解。术后血小板减少导致严重凝血功能障碍和间断高热。患者预后不佳，术后1个月死亡。当b细胞淋巴瘤有严重的神经功能缺损并累及骨骼时，应谨慎考虑手术治疗。

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Rapidly Neurological Deficit Preoperative and Surgery-related Complications Occurred Postoperatively Caused by an Epidural Mass of B-Cell Lymphoblastic Lymphoma (Case Report)

The aim of this paper is to present a 13-year-old patient with bilateral lower limb paralysis and bladder incontinence rapidly progressive within a week. Spine magnetic resonance imaging (MRI) showed a giant epidural mass extending from C6 to T6 and involving soft tissue paraspinally. A surgical procedure was performed, and postoperative histopathologic examinations proved that the mass was B-cell lymphoblastic lymphoma. Preoperative symptoms were not relieved because of some complications, which occurred postoperative. Decreased blood platelets caused a serious coagulation function disorder and discontinuity hyperpyrexia postoperatively. The patient had a poor prognosis and died 1 month postoperatively. When B-cell lymphoma has a serious neurological deficit with bone morrow involvement, surgical treatment should be considered cautiously.

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来源期刊

Neurosurgery Quarterly 医学-神经科学

CiteScore

0.08

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Neurosurgery Quarterly synthesizes the broad wealth of material on international developments in the diagnosis, management, and surgical treatment of neurological disorders. By encompassing viewpoints from worldwide sources, the journal provides information in greater depth than is usually found in the medical literature.