颈椎骨软骨瘤——一名患有多神经病和多神经根炎的肝移植患者的意外发现：病例报告
Osteochondroma of the cervical spine--a surprising finding in a liver transplanted patient with polyneuropathy and polyradiculitis: case report.
作者信息
Kroppenstedt Stefan-Nikolaus, Blumenthal Deborah T, Niepage Sonja, Behse Friedrich, Oestmann Jorg-Wilhelm, Unterberg Andreas Wilhelm
机构信息
Department of Neurosurgery, Charite, Campus Virchow, Humboldt-University of Berlin, Berlin, Germany.
出版信息
Surg Neurol. 2002 Jun;57(6):411-3; discussion 413-4. doi: 10.1016/s0090-3019(02)00709-7.
BACKGROUND
Osteochondroma of the spine is a rare condition. We report a case of a patient with a cervical osteochondroma presenting with a polyneuropathy and polyradiculitis simultaneously.
CASE DESCRIPTION
In a liver-transplant patient with progressive neurological deficits a polyneuropathy and a polyradiculitis were diagnosed. Eventually the patient became quadraparetic and an osteochondroma compressing the cervical spinal cord was found. The patient's neurological symptoms markedly improved after gross total tumor resection and antibiotic therapy.
CONCLUSIONS
Review of the literature reveals this case to be an unusual presentation of a cervical osteochondroma, its diagnosis being delayed because of concomitant neurological diseases.
背景
脊柱骨软骨瘤是一种罕见疾病。我们报告一例颈椎骨软骨瘤患者同时出现多发性神经病和多发性神经根炎的病例。
病例描述
在一名有进行性神经功能缺损的肝移植患者中，诊断出多发性神经病和多发性神经根炎。最终患者出现四肢瘫，发现一个压迫颈脊髓的骨软骨瘤。在肿瘤全切及抗生素治疗后，患者的神经症状明显改善。
结论
文献回顾显示该病例是颈椎骨软骨瘤的一种不寻常表现，其诊断因合并神经疾病而延迟。
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