Spinal Cord Compression in Thalassemia: Report of 12 Cases and Recommendations for Treatment
ชื่อเรื่อง
Spinal Cord Compression in Thalassemia: Report of 12 Cases and Recommendations for Treatment
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ผู้สร้าง/เจ้าของผลงาน
Issaragrisil, Surapol
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Piankijagum, Anong
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Wasi, Prawase
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หัวเรื่อง
Thalassemia
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คำอธิบายรายละเอียดของเอกสาร
The study was supported by Public Health Service research grant AM 09805 from the Institute of Arthritis, Metabolism, and Digestive Diseases
บทคัดย่อ
Twelve patients with β0-thalassemia/hemoglobin E disease had spinal cord compression. Ten were male and two female, aged 17 to 40 years. The causes of spinal cord compression presumably were extramedullary hematopoietic masses. This was proved by surgery in two cases. In six cases, myelography demonstrated extradural blockade. In the others, the recurrent nature of the paraparesis and the prompt response to deep x-ray therapy were compatible with cord compression by extramedullary hematopoietic masses. Although spontaneous recovery and disappearance of the neurological signs after blood transfusions were observed, these were slow and uncertain. Deep x-ray therapy led to prompt response with more lasting benefit in all cases and is thus recommended as standard treatment for this complication.
ผู้ร่วมงาน
Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University
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ปีที่ผลิตเอกสาร
วันที่บันทึกข้อมูล
2023-05-02
ประเภท
Article
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รูปแบบ
ขนาดหรือจำนวนของเอกสาร
4 pages
ต้นฉบับ/แหล่งที่มาของเอกสาร
Archives of internal medicine, Vol. 141, No. 8, Page 1033-1036
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รหัส หรือตัวบ่งชี้เอกสาร
ขอบเขต
เจ้าของลิขสิทธิ์
American Medical Association
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