Kulkarni Arvind G, Goel Atul, Muzumdar Dattatraya
Department of Neurosurgery, King Edward VII Memorial Hospital and Seth G.S. Medical College, Parel, Mumbai, India.
Neurol Med Chir (Tokyo). 2004 May;44(5):255-7. doi: 10.2176/nmc.44.255.
A 15-year-old male presented with pain in the back and paresthesia and weakness of both lower limbs progressing for 6 months. Magnetic resonance imaging revealed a mass lesion occupying the spinal canal at the T-10 to T-11 levels, which had severely compressed the cord. At surgery, a firm and cartilaginous tumor originating from the facet joint was radically excised. The patient showed rapid neurological recovery following the surgery. Histological examination revealed that the lesion was osteochondroma. Such lesions are extremely rare in the lower thoracic spine and osteochondroma arising from the thoracic facet joint is unique.
一名15岁男性患者，背部疼痛伴双下肢感觉异常和无力，症状持续进展6个月。磁共振成像显示T10至T11水平椎管内有占位性病变，脊髓受压严重。手术中，从关节突关节处彻底切除了一个质地坚硬的软骨性肿瘤。术后患者神经功能迅速恢复。组织学检查显示该病变为骨软骨瘤。此类病变在下胸椎极为罕见，起源于胸段关节突关节的骨软骨瘤更是独特。
