Sagiuchi T, Tachibana S, Sato K, Shimizu S, Kobayashi I, Oka H, Fujii K, Kan S
Department of Neurosurgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
AJNR Am J Neuroradiol. 2006 Feb;27(2):258-60.
We describe the case of a 26-year-old man who presented with symptoms compatible with Lhermitte sign that occurred during yawning. It was associated with congenital partial aplasia of the posterior arch of the atlas. Cervical multisection-detector CT myelography during yawning showed compression of the upper cervical cord due to the inward mobility of the isolated posterior tubercle. The symptoms completely disappeared following removal of the isolated posterior tubercle.
我们描述了一名26岁男性的病例,该患者在打哈欠时出现了与莱尔米特征相符的症状。这与第一颈椎后弓先天性部分发育不全有关。打哈欠时进行的颈椎多排探测器CT脊髓造影显示,孤立的后结节向内移动导致上颈髓受压。切除孤立的后结节后,症状完全消失。