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[儿童特发性椎间盘钙化:诊断性影像学的作用。病例报告]

[Idiopathic intervertebral disc calcification in children: the role of diagnostic imaging. A case report].

作者信息

Falcone Lorenzo, Rossiello Pasquale, D'Addetta Ignazio, Martino Fabio

机构信息

U.O. di Radiologia, Ospedale Pediatrico Giovanni XXIII, Bari.

出版信息

Reumatismo. 2006 Jan-Mar;58(1):62-5.

Abstract

The idiopathic calcification of the intervertebral disc in childhood is a rare syndrome with unknown aetiology. This pathology is more frequent in males, with predominant localization to cervical spine. The natural evolution of the syndrome is the progressive and spontaneous resorption of the calcific deposit, with symptom regression. We report a case of an acute and worsening torticollis in a 10-year-old child, with reference to a recent minor cervical distortion, resistant to analgesic treatment. X-ray evaluation, executed after a week from the appearance of torticollis, showed an oval calcification in the nucleus pulposus of the C6-C7 intervertebral disc. The CT and especially the MRI concurred to recognize a disc hernia and an adjacent osteo-ligamentous pathologic participation. In particular, MRI showed the adjacent vertebral spongy bone edema and the active enthesiopathy of the posterior longitudinal ligament.

摘要

儿童椎间盘特发性钙化是一种病因不明的罕见综合征。这种病理情况在男性中更为常见,主要发生在颈椎。该综合征的自然演变是钙化沉积物逐渐自发吸收,症状消退。我们报告一例10岁儿童急性加重性斜颈病例,该儿童近期有轻度颈部扭伤史,对止痛治疗无效。斜颈出现一周后进行的X线评估显示,C6 - C7椎间盘髓核有椭圆形钙化。CT尤其是MRI共同显示存在椎间盘突出以及相邻的骨韧带病变。特别是MRI显示相邻椎体松质骨水肿以及后纵韧带的活动性附着点病。

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