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Od diferencijalno dijagnostičke analize i terapijskog pristupa cervikalne mijelopatije do uspešnog hirurškog lečenja

Dragoslava Jovanovic
Dragoslava Jovanovic
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Published: 01.12.2013.

Biochemistry

Volume 30, Issue 3 (2014)

pp. 1190-1195;

https://doi.org/10.5937/matmed1403190j

Abstract

Cilj ovog prikaza slučaja je da na osnovu analizirane kliničke slike i raspoloživog ciklusa lečenja istakne značaj patološkog entiteta sekundarne cervikalne mijelopatije kao posledica degenerativnih spondilotičnih promena na cervikalnim pršljenovima. Ujedno, cilj je bio da se istakne značaj hirurškog tretmana, kao metoda prvog izbora u procesu uspešnog lečenja. Mi smo analizirali sveobuhvatne podatke iz medicinske dokumentacije, rezultate neuroloških kliničkih i dijagnostičkih ispitivanja:, evocirane potencijale, rezultate lumbalne punkcije, imuno - serološke nalaze i rezultate magnetne rezonance. Pretstavljen je pacijent sa naglo nastalom i progresivno razvijenom kliničkom slikom kvadripareze, prvenstveno na donjim ekstremitetima. Sprovedenim kliničko dijagnostičkim ispitivanjem dobijeni su rezultati koji su ukazali na sekundarno nastalu cervikalnu mijelopatiju, na terenu degenerativnog procesa na cervikalnom regionu. Operativno lečenje je bio izbor i metoda lečenja koja se pokazala kao dobar izbor sa uspešnim ishodom. Krajnji ishod lečenja je bio upotpunjen adekvatnom fizikalnom rehabilitacijom. Ova prikaz slučaja predstavlja ilustraciju povoljnog ishoda hirurškog lečenja cervikalne mijelopatije na terenu degenerativnih spondilotičnih promena cervikalne kičme. To je metoda prvog izbora u poboljšavaju funkcionalnog statusa pacijenata i ujedno način da se zaustavi napredovanje patološkog procesa i neurološkog deficita pacijenata.

Keywords

cervikalna mijelopatija,

hirurški tretman,

degeneracija vratnih pršljenova

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