Sasaoka Ryuichi, Nakamura Hiroaki, Yamano Yoshiki
Department of Orthopaedic Surgery, Osaka City University medical School, Osaka, Japan.
J Spinal Disord Tech. 2003 Jun;16(3):288-94. doi: 10.1097/00024720-200306000-00011.
We recently experienced a case of idiopathic spinal cord herniation in the upper thoracic spine with development of severe unilateral leg pain: a 57-year-old man who had suffered from severe leg pain for about 15 years with lack of abnormality in his lumbar spine. On MRI of the thoracic spine, however, the spinal cord at T2-T3 was bent forward with dilatation of the posterior subarachnoid space. In combination with the findings of computed tomographic myelography, we diagnosed idiopathic spinal cord herniation and performed a surgical treatment. Immediately after the operation, his leg pain disappeared. Therefore, we concluded that the cause of his leg pain was herniation of the thoracic spinal cord.
一名57岁男性，严重腿痛约15年，腰椎无异常。然而，胸椎MRI显示T2-T3水平脊髓向前弯曲，蛛网膜下腔后部扩张。结合计算机断层脊髓造影的结果，我们诊断为特发性脊髓疝并进行了手术治疗。术后患者腿痛立即消失。因此，我们得出结论，他腿痛的原因是胸段脊髓疝。
