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Диагностика и хирургическое лечение детей с диастематомиелией
УДК:
616.832007.253-053.2-07-089
Автор статьи:
Еликбаев Г.М.
Место работы автора:
МКТУ им. Ясауи, г.Шымкент
Название журнала:
Вестник Южно-Казахстанской медицинской академии
Год выпуска:
2010
Номер журнала:
2
Страницы:
с.85-90
Резюме на английском языке:
The article shars examination and treatment of 13 children with diastematomyelie at the age of 12 months. to 16 years, which has dominated girls. The first manifestations of the disease is various, and often has been slow during progredientnym. Diastematomyelia when combined with other defects, often accompanied by grave-sensitive, motor, and pelvic disorders, which often have been resistant. Complete surgical, medical and rehabilitation treatment were determined regression status and degree of rehabilitation patients
Список литературы:
1. Gower D.J., Curling O.D., Kelly D.L. Diastematomyelia: a 40-year experience. Pediatr Neurosci. 1988; 14: 90-96.
2. Jindal A., Mahapatra A.K. Split cord malformation. A study of 48 case. J. Pediatr. 2000; 42: 603-607.
3. Dias M.S, Pang D. Split cord malformations. Neurosurg. Clin North Am. 1995; 6: 339-358.
4. Guthkelch A.N., Hoffman G.T. Telhered spinal cord in association with diastematomyelia. Surg. Neurol. 1981; 75: 352-554.
5. Andar U.B., Harkness W.F., Hayward R.D. Split cord malformations of the lumbar region. A model for the neurosurgical management of all types of occult spinal dysraphism. Pediatr. Neurosurg. 1997; 26: 17 – 24.
6. Deepak Kumar Gupta, Ashok Kumar Mahapatra. Proposal for a New Clinicoradiological Classification of Type I Split-Cord Malformations: A Prospective Study of 25 Cases. Pediatr. Neurosurg. 2006; 42: 341-346.
7. Хачатрян В.А., Еликбаев Г.М. Оценка восстановлений функции после операции у детей с врожденными пороками развития позвоночника и спинного мозга. Украинский нейрохирургический журнал. 2007; 3 (39): 59-60
8. Humphreys R.P., Hendrick E.B., Hoffman H.J. Diastematomyelia. //In: Weis M.H. (ed): Clinical Neurosurgcry. Baltimore. 1982; 23: 436-456.
9. Kumar R., Bansal K.K., Chhabra D.K. Occurrence of split cord malformation in meningomyelocele: complex spina bifida. Pediatr. Neurosurg. 2002; 36: 119-127.10. Pang D., Dias M.S., Ahab-Barmada M. Split cord malformation: Part I: A unified theory of embryogenesis for double spinal cord malformations. Neirosurgery 1992; 31: 451-480.11. Kumar Raj., Singhal Namit. Outcome of meningomyelo/lipomeningomyelo in children of Northern India. Pediatr. Neurosurg. 2007; 43: 7-1412. Ersahin Y., Mutluer S., Kocaman S.D. Split spinal cord malformation in children. J. Neurosurg. 1998; 88: 57-65.13. Pang D. Split cord malformation: Part II; Clinical syndrome. Neirosurgery. 1992; 31: 481-500.14. Martin K., Krastcl A., Hamer J. et al. Symptomatology and diagnosis of diastematomydia in children. Neuroradiology. 1978; 16: 89-90.15. Ульрих Э.В. Аномалии позвоночника у детей (руководства для врачей) – СПб.: «СОТИС», 1995; 335.16. McMaster M.J. Spinal growth and congenital deformity of the spine. Spine. 2006; 31: 2284-2287.17. Schijman E. Split spinal cord malformations. Report of 22 cases and review of the literature. Childs Nerv. Syst. 2003; 19: 96-103.18. Sinha S., Agarwal П., Mahapatra A.K. Split cord malformations: an experience of 203 cases. Childs Nerv. Syst. 2006; 22: 3-7.19. Jindal A., Kansal S., Mahapatra A.K. Split cord malformation with partial eveniraiion of diaphragm. A case report. J. Neurosurg. 2000; 93: 309-311.20. Goldberg C., Fenelon G., Blake N. et al. Diastematomyelia: a critical review of the natural historj and treatment. Spine. 1984; 9: 367-372.21. Naidich T.P., Raband C. Congenital anomalies of the spine and spinal cord. Rev. Neuroradiol. 1992; 5 (l): 113-130.22. Westcott M.A., Dynes M.C., Remer E.M. et el. Congenital and acquired orthopedic abnormalities in patients with myelomeningocele. Radiographics. 1992; 12: 1155-1173.23. McLone D.G. Results of treatment of children born with meningomyelocele. Clin Neurosurg. 1983; 30: 407-412.24. McLone D.G., Dias L, Kaplan W.E. Concepts in management of spina bifida. Concepts Pediatr. Neurosurg. Basel, Karger. 1985; 5: 97-106.25. McLone D.G., Choix M., Di Rocco C. et al. Occult dysraphism and the tethered spinal cord lipomas. Pediatric. Neurosurg. 1999; 61-78.26. Ульрих Э.В., Елякин Д.В. Этапы и методы диагностики диастематомиелии в детском возрасте. Детская хирургия. 2000; 4: 4-6.27. Трофимова Т.Н. Семич В.Н. Методы интроскопии в диагностике диастематомиелии. Вестник рентгенологии и радиологии. 1997; 4: 41-43.
1. Gower D.J., Curling O.D., Kelly D.L. Diastematomyelia: a 40-year experience. Pediatr Neurosci. 1988; 14: 90-96.
2. Jindal A., Mahapatra A.K. Split cord malformation. A study of 48 case. J. Pediatr. 2000; 42: 603-607.
3. Dias M.S, Pang D. Split cord malformations. Neurosurg. Clin North Am. 1995; 6: 339-358.
4. Guthkelch A.N., Hoffman G.T. Telhered spinal cord in association with diastematomyelia. Surg. Neurol. 1981; 75: 352-554.
5. Andar U.B., Harkness W.F., Hayward R.D. Split cord malformations of the lumbar region. A model for the neurosurgical management of all types of occult spinal dysraphism. Pediatr. Neurosurg. 1997; 26: 17 – 24.
6. Deepak Kumar Gupta, Ashok Kumar Mahapatra. Proposal for a New Clinicoradiological Classification of Type I Split-Cord Malformations: A Prospective Study of 25 Cases. Pediatr. Neurosurg. 2006; 42: 341-346.
7. Хачатрян В.А., Еликбаев Г.М. Оценка восстановлений функции после операции у детей с врожденными пороками развития позвоночника и спинного мозга. Украинский нейрохирургический журнал. 2007; 3 (39): 59-60
8. Humphreys R.P., Hendrick E.B., Hoffman H.J. Diastematomyelia. //In: Weis M.H. (ed): Clinical Neurosurgcry. Baltimore. 1982; 23: 436-456.
9. Kumar R., Bansal K.K., Chhabra D.K. Occurrence of split cord malformation in meningomyelocele: complex spina bifida. Pediatr. Neurosurg. 2002; 36: 119-127.10. Pang D., Dias M.S., Ahab-Barmada M. Split cord malformation: Part I: A unified theory of embryogenesis for double spinal cord malformations. Neirosurgery 1992; 31: 451-480.11. Kumar Raj., Singhal Namit. Outcome of meningomyelo/lipomeningomyelo in children of Northern India. Pediatr. Neurosurg. 2007; 43: 7-1412. Ersahin Y., Mutluer S., Kocaman S.D. Split spinal cord malformation in children. J. Neurosurg. 1998; 88: 57-65.13. Pang D. Split cord malformation: Part II; Clinical syndrome. Neirosurgery. 1992; 31: 481-500.14. Martin K., Krastcl A., Hamer J. et al. Symptomatology and diagnosis of diastematomydia in children. Neuroradiology. 1978; 16: 89-90.15. Ульрих Э.В. Аномалии позвоночника у детей (руководства для врачей) – СПб.: «СОТИС», 1995; 335.16. McMaster M.J. Spinal growth and congenital deformity of the spine. Spine. 2006; 31: 2284-2287.17. Schijman E. Split spinal cord malformations. Report of 22 cases and review of the literature. Childs Nerv. Syst. 2003; 19: 96-103.18. Sinha S., Agarwal П., Mahapatra A.K. Split cord malformations: an experience of 203 cases. Childs Nerv. Syst. 2006; 22: 3-7.19. Jindal A., Kansal S., Mahapatra A.K. Split cord malformation with partial eveniraiion of diaphragm. A case report. J. Neurosurg. 2000; 93: 309-311.20. Goldberg C., Fenelon G., Blake N. et al. Diastematomyelia: a critical review of the natural historj and treatment. Spine. 1984; 9: 367-372.21. Naidich T.P., Raband C. Congenital anomalies of the spine and spinal cord. Rev. Neuroradiol. 1992; 5 (l): 113-130.22. Westcott M.A., Dynes M.C., Remer E.M. et el. Congenital and acquired orthopedic abnormalities in patients with myelomeningocele. Radiographics. 1992; 12: 1155-1173.23. McLone D.G. Results of treatment of children born with meningomyelocele. Clin Neurosurg. 1983; 30: 407-412.24. McLone D.G., Dias L, Kaplan W.E. Concepts in management of spina bifida. Concepts Pediatr. Neurosurg. Basel, Karger. 1985; 5: 97-106.25. McLone D.G., Choix M., Di Rocco C. et al. Occult dysraphism and the tethered spinal cord lipomas. Pediatric. Neurosurg. 1999; 61-78.26. Ульрих Э.В., Елякин Д.В. Этапы и методы диагностики диастематомиелии в детском возрасте. Детская хирургия. 2000; 4: 4-6.27. Трофимова Т.Н. Семич В.Н. Методы интроскопии в диагностике диастематомиелии. Вестник рентгенологии и радиологии. 1997; 4: 41-43.
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12 айдан 16 жасқа дейінгі диастематомиелиямен ауыратын 13 баланың тексерілу және емдеу нәтижелері сараптаудан өткізілді. Қыз балалар басым көпшілігін құрады. Аурудың алғашқы көріністері әртүрлі болып білінеді, ал ағымы жиі баяу өтеді. Диастематомиелия басқа даму ақауларымен қосарланып келген жағдайларда жиі сезімталдықтың, қозғалыстың және жамбас қуыс мүшелерінің ауыр бұзылыстарымен өтеді, тұрақты болады. Науқас жағдайының жақсаруы мен сауығу дәрежесі хирургиялық емді, дәрі дәрмектерді және қалпына келтіру шараларын қолданып, кешенді емдеуге байланысты
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