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C7孤立性骨软骨瘤导致的霍纳综合征:一例报告并文献复习

Horner Syndrome due to a solitary osteochondroma of C7: a case report and review of the literature.

作者信息

Zhao Chang-Qing, Jiang Sheng-Dan, Jiang Lei-Sheng, Dai Li-Yang

机构信息

Department of Orthopedic Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

出版信息

Spine (Phila Pa 1976). 2007 Jul 15;32(16):E471-4. doi: 10.1097/BRS.0b013e3180bc225d.

Abstract

STUDY DESIGN

Case report and review of the literature.

OBJECTIVE

To report a 23-year-old woman with osteochondroma of the lower cervical spine who presented with Horner syndrome and to review the relevant literature.

SUMMARY OF BACKGROUND DATA

Osteochondroma is the most common benign lesion of bone but rarely affects the spine.

METHODS

Clinical history, routine radiographs, and computed tomography study of the patient were described. A review of the relevant literature was also done.

RESULTS

The patient demonstrated a complete disappearance of clinical symptoms on the follow-up examination 60 days after surgery. No patients with Horner syndrome due to a solitary cervical osteochondroma have been previously reported in English-language medical literature.

CONCLUSION

Vertebral involvement of osteochondroma is rare, especially with neurologic compromise. A young patient is presented with a symptomatic solitary osteochondroma of the seventh cervical vertebra who had Horner syndrome. This case report supports surgical intervention of symptomatic osteochondroma of the cervical spine.

摘要

研究设计

病例报告及文献综述。

目的

报告一名患有下颈椎骨软骨瘤并伴有霍纳综合征的23岁女性病例,并对相关文献进行综述。

背景资料总结

骨软骨瘤是最常见的骨良性病变,但很少累及脊柱。

方法

描述了该患者的临床病史、常规X线片及计算机断层扫描研究。同时也对相关文献进行了回顾。

结果

患者术后60天的随访检查显示临床症状完全消失。此前英文医学文献中未见因孤立性颈椎骨软骨瘤导致霍纳综合征的病例报道。

结论

骨软骨瘤累及椎体罕见,尤其是伴有神经功能损害时。本文报告了一名患有第七颈椎有症状的孤立性骨软骨瘤并伴有霍纳综合征的年轻患者。该病例报告支持对有症状的颈椎骨软骨瘤进行手术干预。

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