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一名儿童因脊柱结核导致脊髓受压。

Spinal cord compression from spinal tuberculosis in a child.

作者信息

Kiymaz Nejmi, Yilmaz Nebi, Demir Ozgur

机构信息

Department of Neurosurgery, School of Medicine, Yuzuncu Yil University Hospital, Van, Turkey.

出版信息

Pediatr Neurosurg. 2006;42(3):180-2. doi: 10.1159/000091864.

Abstract

Tuberculosis in children most frequently involves the pulmonary system. Spinal tuberculosis is very rare and insidious in children. We present a 1-year-old girl who was brought to our clinic with complaints of a bulge on her back and weakness in the feet. She was investigated with magnetic resonance imaging and at the thoracic level which revealed vertebral destruction and para- and perispinal abscess. Computed tomography of the lungs showed tuberculous lesions. The child's mother gave a post history of recovered lung tuberculosis. Due to appearance paraparesis secondary to vertebral destruction, we removed the abscess and infected bone and reconstruction was carried out with fibular allograft anteriorly. Tuberculosis bacilli were isolated from the postoperative biopsy culture. In this study, we evaluated the methods of diagnosis and treatment of spiral tuberculosis according to the studies and publications which have been done previously.

摘要

儿童结核病最常累及肺部系统。脊柱结核在儿童中非常罕见且隐匿。我们报告一名1岁女孩,因背部隆起和足部无力前来我院就诊。对其进行的磁共振成像检查显示,在胸椎水平有椎体破坏以及椎旁和脊柱周围脓肿。肺部计算机断层扫描显示有结核病变。患儿母亲有肺结核治愈病史。由于椎体破坏继发双下肢轻瘫,我们切除了脓肿和感染骨,并在前路用腓骨同种异体骨进行了重建。术后活检培养分离出结核杆菌。在本研究中,我们根据既往的研究和出版物评估了脊柱结核的诊断和治疗方法。

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