バールによる脊髄半側損傷の1例

概要

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Thl2 Brown-Sequard type spinal cord injury patient causing crowbar was reported. The patient was 24-year-old carpenter. On falling from the stepladder, the crowbar in nail bag stabbed his back to the spinal column at Th11 vertebrae. On neurological examination a month after injury, he was almost complete paraplegia below the level of Th12 (classified in Frankel B). Six months later, his left leg was recoverd it's motor function but still impaired superficial sensation. On the other leg superficial sensation was recovered but still existed motor function damages. Deep sensory was impaired severely on both side. Left leg was classified in Frankel D, but right leg was still in Frankel B. The MRI on one month after injury showed bleeding degeneration and edema on the Thl2 spinal cord. The MRI on six months after injury revealed spinal damage on both posterior funiculus and right lateral funiculus clearly.
社団法人日本リハビリテーション医学会の論文
1994-01-18