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孤立性脊柱内腰椎骨软骨瘤:一例报告

Solitary intraspinal lumbar vertebral osteochondroma: a case report.

作者信息

Gürkanlar Doğa, Aciduman Ahmet, Günaydin Ahmet, Koçak Halit, Celik Nur

机构信息

Social Security Institution Ankara Training Hospital, I. Neurosurgery Clinic.

出版信息

J Clin Neurosci. 2004 Nov;11(8):911-3. doi: 10.1016/j.jocn.2004.02.013.

Abstract

1-4% of osteochondromas involve the spine. They are commonly found in the posterior elements of the vertebra and can cause radicular symptoms. We report a 35 year-old man, suffering from right leg pain, which became worse over five years. His neurological examination revealed a positive right straight leg raising test and L4-L5 hypoesthesia. Lumbar computerised tomography (CT) and magnetic resonance imaging (MRI) studies revealed an exophytic, pedunculated bony projection. Osteochondroma should be considered while evaluating a patient with low back pain or radiculopathy without a CT or MRI appearance of a herniated lumbar disc.

摘要

1%至4%的骨软骨瘤累及脊柱。它们通常见于椎体的后部结构,可引起神经根症状。我们报告一名35岁男性,患有右腿疼痛,该症状在五年内逐渐加重。他的神经系统检查显示右侧直腿抬高试验阳性以及L4 - L5感觉减退。腰椎计算机断层扫描(CT)和磁共振成像(MRI)检查显示有一个外生性、带蒂的骨性突起。在评估一名无腰椎间盘突出CT或MRI表现的腰痛或神经根病患者时,应考虑骨软骨瘤。

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