neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2019-21-4-81-88neurosurgery-793Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИFROM PRACTICEПрогрессирующая посттравматическая сирингомиелия: случай из практикиProgressive post-traumatic syringomyelia: a clinical casehttps://orcid.org/0000-0002-3001-0985БушковФ. А.BushkovF. A.

Федор Анатольевич Бушков 

получение данных для анализа, анализ полученных данных, обзор публикаций по теме статьи, написание текста статьи

obtaining data for analysis, analysis of the obtained data, reviewing of publications on the article’s theme, article writing

bushkovfedor@mail.ruhttps://orcid.org/0000-0002-2471-9496БжилянскийМ. А.BzhylyanskiyM. A.

проведение стимуляционной электронейромиографии

stimulation electroneuromyography

https://orcid.org/0000-0001-5344-3970КордонскийА. Ю.KordonskiyA. Yu.

написание текста статьи

article writing

АО «Реабилитационный центр для инвалидов “Преодоление”»РоссияRehabilitation center “Overcoming”Russian FederationГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»РоссияN.V. Sklifosovsky Research Institute for Emergency MedicineRussian Federation2019211220192148188Copyright © Бушков Ф.А., Бжилянский М.А., Кордонский А.Ю., 20192019Бушков Ф.А., Бжилянский М.А., Кордонский А.Ю.Bushkov F.A., Bzhylyanskiy M.A., Kordonskiy A.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/793

Цель работы – описать редкий клинический случай прогрессирующей посттравматической сирингомиелии на шейном уровне на фоне сочетанного перелома проксимального метаэпифиза правой плечевой кости с высоким риском повреждения плечевого сплетения.

Материалы и методы

Материалы и методы. Выполнено шунтирование посттравматической кисты шейного отдела спинного мозга.

Результаты

Результаты. В послеоперационном периоде наблюдалось увеличение спастичности в ногах, увеличение слабости в мышцах рук, исчезновение сгибания 1-го и 5-го пальцев правой кисти, утяжеление ортостатической гипотензии. При магнитно-резонансной томографии шейного отдела позвоночника выявлено прогрессирование сирингомиелии.

Заключение

Заключение. Данное наблюдение демонстрирует особенности дифференцирования шейной миелопатии и плексус-пареза при сочетанной спинномозговой травме, а также раскрывает механизмы позднего прогрессирования неврологического дефицита при сирингомиелии.

Конфликт интересов

Конфликт интересов. Авторы заявляют об отсутствии конфликта интересов.

Информированное согласие

Информированное согласие. Пациент подписал информированное согласие на публикацию своих данных.

The objective of the present article is to describe a rare clinical case of progressive post-traumatic cervical syringomyelia after spinal cord injury with fracture of proximal metaepiphysis of the right humerus. The patient had a progressive neurological loss after spinal cord injury.

Materials and methods

Materials and methods. The patient underwent surgical treatment: decompression and stabilization of spinal column, surgical technique of spinal cord detethering, cyst shunting.

Results

Results. In the postoperative period the patient had increased spasticity in the lower extremities, increased weakness in the muscles of the upper extremities, aggravation of orthostatic hypotension, and inability to flex the first and the fifth fingers of the right hand. Magnetic resonance imaging of the cervical spine revealed progression of syringomyelia.

Conclusion

Conclusion. This case demonstrates differentiation between cervical myelopathy and plexus paresis in a patient with combination spinal injury and reveals the mechanisms underlying late progression of neurological deficit.

Conflict of interest

Conflict of interest. The authors declare no conflict of interest.

Informed consent

Informed consent. The patient gave written informed consent to the publication of his data.

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The authors declare that there are no conflicts of interest present.