Terada Y, Matsunobe S, Kou T, Nemoto T, Tsuda T, Tonomura S, Shimizu Y
Respiratory Center, Shiga Health Insurance Hospital, Otsu, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1992 Mar;30(3):500-2.
A 37-year-old man was admitted because of miliary tuberculosis. However, his fever and general condition did not improve with chemotherapy. Six months later, paraplegia occurred following sudden radicular back pain without any alteration of segmental sensation. There were no abnormal findings on X-ray films of the thoracic and lumbar vertebrae. Examination by magnetic resonance imaging revealed that the contents of a cold tuberculous abscess in the right chest wall had drained into the epidural space through the intervertebral foramen. Drainage of the chest wall abscess and laminectomy were performed. Further investigation showed that this case did not belong to the usual type of atypical spinal tuberculosis reported previously.
一名37岁男性因粟粒性肺结核入院。然而，化疗后他的发热及全身状况并未改善。6个月后，在无节段性感觉改变的情况下，突发神经根性背痛后出现截瘫。胸腰椎X线片未见异常。磁共振成像检查显示，右胸壁寒性结核脓肿内容物经椎间孔流入硬膜外间隙。遂行胸壁脓肿引流及椎板切除术。进一步检查表明，该病例不属于先前报道的常见类型的非典型脊柱结核。
