Abstract:
Mirror movements, characterized by involuntary symmetrical movements in contralateral body parts during intentional movements, have been associated with various neurological conditions. Limited dorsal myeloschisis (LDM), a rare form of spinal dysraphism, is defined by a focal closed midline defect and a fibro-neural stalk connecting the skin lesion to the underlying cord. We present a unique case of a 4-year-old girl with cervical LDM exhibiting mirror movements. The patient underwent surgical exploration, skin tag excision, fibrous tract removal, and cervical spinal cord detethering. Post-operatively, there was a partial improvement in mirror movements and a complete resolution of hand grip weakness.
摘要:
镜像运动,其特征在于有意运动期间对侧身体部位的不自主对称运动,与各种神经系统疾病有关。有限的背侧骨髓分裂(LDM),一种罕见的脊柱发育不良,由局灶性闭合中线缺损和将皮肤病变连接到下面的脐带的纤维神经柄定义。我们介绍了一个4岁女孩的独特案例,该女孩的宫颈LDM表现出镜像运动。病人接受了手术探查,皮肤标记切除术,纤维束去除,和颈脊髓脱离。术后,镜面运动有部分改善,手抓地力薄弱有了完全解决。