Ahmed T S, Oliver M, Blackburn N
Department of Trauma and Orthopaedic Surgery, Kent and Canterbury Hospital, Canterbury, UK.
Ann R Coll Surg Engl. 2007 Sep;89(6):W6-8. doi: 10.1308/147870807X227773.
Chronic neck pain is an extremely common symptom in the general population. Most cases have underlying musculoskeletal aetiologies and are managed conservatively. However, a very small number of patients presenting with chronic neck pain will have significant underlying pathology, e. g. a spinal cord tumour. Intramedullary spinal cord tumours are uncommon at all ages, particularly in adults, and there are some controversies in their treatment. The case of an 18-year-old man with chronic neck pain who was subsequently shown to have a pilocytic intramedullary astrocytoma is presented. This report highlights the need to consider rare, but potentially serious, diagnoses in individuals presenting with non-resolving, but seemingly innocent, symptoms over a prolonged period.
慢性颈部疼痛是普通人群中极为常见的症状。大多数病例有潜在的肌肉骨骼病因，通常采用保守治疗。然而，极少数出现慢性颈部疼痛的患者会有严重的潜在病变，例如脊髓肿瘤。脊髓内肿瘤在各年龄段都不常见，尤其是在成年人中，其治疗存在一些争议。本文介绍了一名18岁慢性颈部疼痛男性患者的病例，该患者后来被诊断为毛细胞型脊髓内星形细胞瘤。本报告强调，对于长期存在无法缓解但看似无害症状的个体，有必要考虑罕见但可能严重的诊断。
