本病例报告描述了一名26岁男性患者,在一次车祸中发生T5~T6胸段脊髓损伤。初步影像学检查确提示T5~T6椎体骨折,损伤水平以下完全丧失运动和感觉功能(ASIA损伤分级A)。尽管初次外科减压手术效果不佳,但通过药物治疗、神经肌肉电刺激(NMES...本病例报告描述了一名26岁男性患者,在一次车祸中发生T5~T6胸段脊髓损伤。初步影像学检查确提示T5~T6椎体骨折,损伤水平以下完全丧失运动和感觉功能(ASIA损伤分级A)。尽管初次外科减压手术效果不佳,但通过药物治疗、神经肌肉电刺激(NMES)、以及强化物理治疗的综合干预,患者实现了部分感觉恢复(改善至T8感觉水平)并提高了功能独立性。本案例强调了早期多模式康复对优化完全脊髓损伤患者神经恢复潜力的重要性。This case report describes a 26-year-old male patient who sustained a T5~T6 thoracic spinal cord injury in a traffic accident. Initial imaging studies confirmed vertebral fractures at T5~T6, with complete loss of motor and sensory function below the level of injury (ASIA impairment scale A). Despite the initial surgical decompression being suboptimal, through a comprehensive intervention of pharmacological treatment, neuromuscular electrical stimulation (NMES), and intensive physical therapy, the patient achieved partial sensory recovery (improved to T8 sensory level) and increased functional independence. This case underscores the importance of early multimodal rehabilitation in optimizing the neurologic recovery potential of patients with complete spinal cord injuries.展开更多
文摘本病例报告描述了一名26岁男性患者,在一次车祸中发生T5~T6胸段脊髓损伤。初步影像学检查确提示T5~T6椎体骨折,损伤水平以下完全丧失运动和感觉功能(ASIA损伤分级A)。尽管初次外科减压手术效果不佳,但通过药物治疗、神经肌肉电刺激(NMES)、以及强化物理治疗的综合干预,患者实现了部分感觉恢复(改善至T8感觉水平)并提高了功能独立性。本案例强调了早期多模式康复对优化完全脊髓损伤患者神经恢复潜力的重要性。This case report describes a 26-year-old male patient who sustained a T5~T6 thoracic spinal cord injury in a traffic accident. Initial imaging studies confirmed vertebral fractures at T5~T6, with complete loss of motor and sensory function below the level of injury (ASIA impairment scale A). Despite the initial surgical decompression being suboptimal, through a comprehensive intervention of pharmacological treatment, neuromuscular electrical stimulation (NMES), and intensive physical therapy, the patient achieved partial sensory recovery (improved to T8 sensory level) and increased functional independence. This case underscores the importance of early multimodal rehabilitation in optimizing the neurologic recovery potential of patients with complete spinal cord injuries.
