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[Cervical myelopathy revealing bone fluorosis].

作者信息

Younes M, Mahmoud I, Ben Othman M, Zrour-Hassen S, Douki W, Béjia I, Touzi M, Ben Hammouda M, Bergaoui N, Najjar M F

机构信息

Service de rhumatologie, EPS Fattouma Bourguiba, Monastir 5000, Tunisie.

出版信息

Rev Neurol (Paris). 2008 Feb;164(2):185-8. doi: 10.1016/j.neurol.2007.04.001. Epub 2008 Feb 6.

Abstract

Bone fluorosis is a rare metabolic disease characterized by massive bone fixation of fluorine. It is seen endemically around phosphate mines in North Africa. Neurologic complications, such as medullar compression may rarely reveal the disease. We report a case of cervical myelopathy due to bone fluorosis causing tetraparesis. Medullar compression was caused by posterior vertebral ligament calcification. Diagnosis was based on the characteristic radiologic aspect, and confirmed by the dosage of serum and urine levels of fluorine. Cervical laminectomy resulted in significant pain improvement, despite persistent motor deficit.

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