[1]吴鹤鸣,唐勇,李翔,等.经椎体后路健侧颈7神经移位术治疗脑出血后上肢痉挛性瘫痪1例报告及文献复习[J].临床神经外科杂志,2020,17(03):347-350.[doi:DOI:10.3969/j.issn.1672-7770.2020.03.023]
 WU He-ming,TANG Yong,LI Xiang,et al.Treatment of a patient with upper limb spastic paralysis after cerebral hemorrhage by transposition of C7 nerves in healthy side(report of one case and review of literature)[J].Journal of Clinical Neurosurgery,2020,17(03):347-350.[doi:DOI:10.3969/j.issn.1672-7770.2020.03.023]
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经椎体后路健侧颈7神经移位术治疗脑出血后上肢痉挛性瘫痪1例报告及文献复习()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
17
期数:
2020年03期
页码:
347-350
栏目:
病例报告
出版日期:
2020-06-15

文章信息/Info

Title:
Treatment of a patient with upper limb spastic paralysis after cerebral hemorrhage by transposition of C7 nerves in healthy side(report of one case and review of literature)
文章编号:
202003023
作者:
吴鹤鸣唐勇李翔史岩李雪萍杨婷关靖宇樊友武
210006 南京,南京医科大学附属南京医院(南京市第一医院)神经外科(吴鹤鸣,唐勇,李翔,史岩,樊友武),康复医学科(李雪萍,杨婷);中国人民解放军北部战区总医院神经外科(关靖宇)
Author(s):
WU He-ming TANG Yong LI Xiang et al.
Department of Neurosurgery, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, China
关键词:
颈7神经移位术脑出血痉挛性瘫痪
Keywords:
transposition of 7 nerves cerebral hemorrhage spastic paralysis
分类号:
R651.1+1
DOI:
DOI:10.3969/j.issn.1672-7770.2020.03.023
文献标志码:
B
摘要:
目的探讨经后路健侧颈7神经移位术治疗中枢神经系统损伤后上肢痉挛性瘫痪的效果及安全性。方法对南京市第一医院神经外科2019年4月行椎体后路健侧颈7神经移位术治疗的1例脑出血后右侧肢体瘫痪患者的临床资料进行回顾分析。术后观察随访患者2个月。结果术后2个月,患者患侧上肢的肌张力较术前降低,整体平衡功能较术前有改善;健侧上肢无明显功能障碍,无术后并发症。结论经后路健侧颈7神经移位术治疗中枢神经系统损伤后上肢痉挛性瘫痪,有一定的短期效果和安全性;长期效果还需要更多的临床病例观察和长时间随访确定。
Abstract:
Objective To analyze the safety and effectiveness of transferring contralateral C7 nerve via the posterior spinal route to treat the patients patients with limb hemiplegia due to central nervous system injury. Methods The clinical data of a patient with right limb paralysis after cerebral hemorrhage underwent contralateral cervical 7 nerve transfer via the posterior route in the Department of Neurosurgery, Nanjing First Hospital in April 2019 were analyzed retrospectively. Then the patient was followed up for 2 months. Results Two months later after operation, the patients muscle tension in the affected side of the upper limb was lower, and the overall balance function was improved. There was no obvious dysfunction and postoperative complications in the healthy side of the upper limb.Conclusions It has some short-term effects and safety on treating the spastic paralysis of upper limbs after central nervous system injury by contralateral C7 nerve transfer via the posterior spinal route. More clinical cases and long-term follow-up clinical observation would be necessary in the future. Key words: transposition of 7 nerves cerebral hemorrhage spastic paralysis

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更新日期/Last Update: 2020-06-17