Brown-Sequard syndrome. Tau variants ntawm lub chav kawm

Muaj coob tus neeg tau ntsib kev recurrent rov qab mob. Lawv ua varied: kev poob plig, neurological kab mob tiv thaiv kev puas tsuaj rau lub paj hlwb. Ib tug ntawm cov feem ntau nyuaj ces ntawm cov kab mob txuam nrog rov qab mob, Brown-Sequard yog syndrome.

Nws nruab nrab yog ib txoj ob rhiab thiab lub cev muaj zog mob tshwm sim los ntawm tus txha caj qaum raug mob nyob rau hauv txoj kab uas hla. Daim ntawv teev cov xeev thiab cov kab mob nyob rau hauv uas lub syndrome yog pom, yog heev loj. Lub ntsiab thiab feem ntau ua rau nws tshwm sim yog ib tug rov qab raug mob, uas muaj peev xwm muab tau raws li ib tug tshwm sim ntawm raug stabbed, thiab raws li ib tug tshwm sim ntawm blunt quab yuam kev raug mob. Mob thaum lub Brown-Sequard syndrome yog ib tug tshwm sim ntawm ib lub tsheb sib tsoo, uas tshwm sim los ib tug pob txha lov ua facet nrog offset.

Ntau tsawg, tab sis tseem muaj mob ntawm qhov tshwm sim ntawm no syndrome yog vim muaj extramedullary hlav, herniated disc, epidulyarnoy hematoma, txha caj infarction los yog sib cais ntawm lub vertebral leeg. Tsis tau lub ntsiab yog vim li cas - yog ib tug txha caj qaum raug mob raws li ib tug tshwm sim ntawm ib tug txhua yam kev raug mob.

Nws qhia txog ib co ces, tshwm sim los ntawm cov saum toj no-hais syndrome. Yog li, nws yog ib lub classic ib tug rau nram qab no. Nyob rau sab ntawm lub lesion qhov chaw tshwm sim los yog paresis los yog tuag tes tuag taw ntawm ob txhais ceg. Muaj yog ib tug muaj zog chim rhiab heev (hnyav, siab), thiab lub tsis tuaj kawm ntawv ntawd nyob rau hauv daim ntawv ntawm xws li loog loog nyob rau hauv lub cheeb tsam ntawm innervation ntawm cov kab txiav uas yog puas los ntawm kev poob plig. Nyob rau sab uas yog opposite txhab, muaj yog tsis muaj nto rhiab heev (kub, mob)

Brown-Sequard syndrome rov mus embodiment muaj cov nram qab nta. Cov tsos mob nyob rau hauv cov ntaub ntawv no rau lwm tus. Nyob rau sab ntawm lub hearth uas muab tej zaum yuav muaj ib tug ua txhaum ntawm qhov chaw rhiab heev thiab rau lwm yam - tuag tes tuag taw thiab paresis. Brown-Sequard cov tsos mob yog tam sim no tsuas yog nyob rau hauv sab ntawm qhov kev raug mob (lub cev muaj zog mob, piav thoob hlo mob).

Yog li ntawd-hu ua ib nrab syndrome embodiment txawv los ntawm lub saum toj no nyob rau hauv uas zoo tsis muaj cov tsos mob tshwm sim los sis pom xwb zonally.

Xws li ib tug ntau yam ntawm tau ces vim, saum toj no tag nrho, qhov chaw thiab cov xwm (kiav txhab, contusion, lub hlwb hlav, festering epidurit, ua txhaum cai ntawm cov kev ncig ntawm cov leeg nrob) raug mob.

Ib feature ntawm tej kab mob raws li Brown-Sequard syndrome, yog hais tias tiv thaiv lub keeb kwm ntawm lub saum toj no hloov, tus rhiab heev nyob rau hauv cov nqaij thiab pob qij txha fwm. Qhov tseeb yog yooj yim piav qhia los ntawm qhov tseeb hais tias lub cords nyob sab nraum cov leeg nrob qaum tseem lawm, vim hais tias cov mov ntawm cov ntshav yog nqa tawm los ntawm txhais tau tias ntawm ib tug txha caj leeg.

Qhov saum toj no cov tsos mob ntawm tus syndrome ntawm Brown-Sequard clinically pom zoo thiab tau raug dua cai nyob rau hauv kev kho mob xyaum.