Chen Cheng-Fong, Chang Ming-Chau, Wang Shin-Tien, Liu Chien-Lin, Chen Winby
Department of Orthopaedics, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
J Chin Med Assoc. 2003 Apr;66(4):256-9.
One patient had cervical spinal canal stenosis with radiculomyelopathy due to deposition of calcium pyrophosphate dihydrate within the ligamentum flavum. The MRI of cervical spine showed a calcified nodule over C5-6 level ligamentum flavum with obvious cord compression. After posterior decompressive laminectomy with removal of the calcified nodule, the symptom and sign relieved remarkedly and the pathology showed calcium pyrophosphate dihydrate deposition within the ligamentum flavum. We presented this case and reviewed the literature to acknowledge so-call "pseudogout syndrome."
一名患者因黄韧带内二水焦磷酸钙沉积而患有颈椎管狭窄伴神经根脊髓病。颈椎MRI显示C5-6水平黄韧带有一个钙化结节，伴有明显的脊髓受压。在进行后路减压椎板切除并切除钙化结节后，症状和体征明显缓解，病理显示黄韧带内有二水焦磷酸钙沉积。我们展示了该病例并复习文献以认识所谓的“假性痛风综合征”。
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