CHN P TY

SPINAL CORD COMPRESSION

Bs Nguyn Duy Linh
Bs Nguyn Lu Giang
 NI DUNG
Gii phu
Lm sng
Cn lm sng
Chn on
S LC
Triu chng bnh
nguyn.
Triu chng ti ct
sng
Triu chng ti ni
tn thng
Triu chng di ni
tn thng
GII PHU
Di trung bnh 42 45 cm,
tri di t l ln n L1 L2.
ng knh l 1,8 cm.
31 khoanh ty
Phnh ty c - phnh ty tht
lng
GII PHU
GII PHU
 CT SNG
au
Bin dng
im au
Hn ch vn ng
 TI NI TN THNG
Biu hin ca r
Biu hin ca ty
 DI NI TN THNG
Ri lon vn ng
Ri lon cm gic
Ri lon c trn
i lc cch hi thn kinh
Phn x thp
 POSTERIOR
ANTERIOR
BROWN CORD
CORDSYNDROME
SQUARD
CENTRAL CORD SYNDROME
SYNDROME
SYNDROME
 THEO CHIU DC
on c C1-C4
Lit c honh.
Yu/Lit t chi.
Ri lon cm gic t c xung.
on C5- D1
au c - vai cnh tay.
Yu/lit hai chi di, yu hai tay kiu ngoi vi (?)
Ri lon cm gic t vai xung.
 THEO CHIU DC
on ty ngc
au kiu dy ai tht ngc bng.
Yu/lit hai chi di.
Ri lon cm gic t ngc xung.
on chp ty
Lit mm 2 chi di.
Ri lon cm gic vng yn nga.
Babinski.
 HI CHNG CHM UI NGA
Tn thng di ty sng.
Lit vn ng, ri lon cm gic vng hi m,
mt PX hu mn, ri lon c trn.
Tng Khoanh da Tng Khoanh da

C2 chm T8 Khoang gian sn 8

C3 H thng n T9 Khoang gian sn 9

C4 nh khp cng vai T10 Rn

C5 Mt bn cnh tay T11 Khoang gian sn 11

C6 Ngn ci T12 ng ni trung im 2 dy chng bn

C7 Ngn gia L1 Gia T12 L2

C8 Ngn t L2 Gia trc i

T1 Mt trc trong cnh tay L3 Ngay trn xng bnh ch

T2 nh h nch L4 Mt c trong

T3 Khoang gian sn 3 L5 Mt lng t bn ngn III

T4 Np nm v S1 Mt c ngoi

T5 Khoang gian sn 5 S2 Gia h khoeo

T6 Mi c S3 ngi

T7 Khoang gian sn 7 S4 S5 Quanh hu mn

 Mc vn ng ng tc

C5: c nh u, delta Dng vai, gp khuu

C6: c dui c tay Dui c tay

C7: c tam u Dui khuu

C8: c gp chung cc ngn su Nm bn tay

T1: c lin t Dng ngn t

L2: c tht lng chu Gp hng

L3: c t u Dui gi

L4: c khu trc cng chn Dui bn chn

L5: c dui ngn Dui ngn chn

S1: c dp, c sinh i Gp gan chn

 Tng Phn x Tng Phn x
C5 C6 C nh u T11 T12 Da bng di
C dui c tay
C6 C7 L2 L3 Da bi
quay
C7 C8 C tam u L3 L4 Gi
T9 T10 Da bng trn S1 S2 Gt

S2 S3 S4 Da quanh hu mn, hnh hang, cng cng dng vt

 NGUYN NHN
Ngoi mng cng
TV, thoi ha CS
Nhim trng: abscess, lao
Khi u
 NGUYN NHN
Ngoi ty
U mng ty
U bao dy thn kinh
Vim dnh mng nhn.
 NGUYN NHN
Ni ty
U (astrocytoma,
ependymoma).
Rng ty
Mch mu
 CN LM SNG
Xt nghim
X-quang
CT scanner (computed tomography)
MRI (magnetic resonance imaging)