ogilvie's syndrome

ogilvie 综合征
  • 文章类型: Case Reports
    脊髓刺激(SCS)是治疗复杂区域疼痛综合征(CPRS)神经病和椎板切除术后综合征引起的慢性疼痛的新兴技术。SCS桨植入术后罕见的并发症是可能由胸神经根病引起的腹痛。Ogilvie综合征(OS)是一种以结肠急性扩张为特征的疾病,在没有阻碍肠内容物流动的解剖损伤的情况下,很少在脊柱手术后观察到。这里,我们描述了一例70岁男性患者,他在SCS桨植入术后出现OS,导致盲肠穿孔和多系统器官功能衰竭,结果致死.我们讨论病理生理学,提出了一种测量椎管与脊髓之比(CCR)的方法,以预防桨状SCS植入后胸神经根病和OS的风险,并对这种情况的管理和治疗提出建议。
    Spinal cord stimulation (SCS) is an emerging technology to treat chronic pain from complex regional pain syndrome (CPRS) neuropathy and post-laminectomy syndrome. A rarely reported postoperative complication of SCS paddle implantation is abdominal pain that can result from thoracic radiculopathy. Ogilvie\'s syndrome (OS) is a disorder characterized by acute dilatation of the colon in the absence of an anatomic lesion that obstructs the flow of intestinal contents, which has seldom been observed after spine surgery. Here, we describe the case of a 70-year-old male who developed OS after SCS paddle implantation resulting in cecal perforation and multi-system organ failure with lethal outcome. We discuss the pathophysiology, present a method measuring the spinal canal to cord ratio (CCR) to prevent the risk of thoracic radiculopathy and OS after paddle SCS implantation, and propose suggestions for management and treatment of this condition.
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