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成人急性颈后部疼痛:病例系列

Acute posterior neck pain in adult: a case series.

作者信息

Homma Yasuhiro, Itoi Akira, Muta Tomoya, Shimamura Yoshio, Naito Kiyohito, Mogami Atsuhiko, Obayashi Osamu, Murphy Colin G, Kaneko Kazuo

机构信息

Department of Orthopaedic Surgery, Juntendo University Shizuoka Hospital Izunokuni City, Shizuoka 410-2295 Japan.

出版信息

Cases J. 2009 Aug 25;2:8103. doi: 10.4076/1757-1626-2-8103.

Abstract

Calcification around the cervical spine is thought to be relatively rare case, among these conditions the calcification at the longus colli muscle is called retropharyngeal tendinitis and only several cases were reported in the literature. In this disease, the three characteristic clinical features are acute severe posterior neck pain without any trigger, severely restricted range of motion, and odynophagia. The radiographic findings include swelling of the retropharyngeal space and amorphous calcification anterior to C1-C2 in lateral view of the cervical spine. Diagnosis is established by sound history taking coupled with computed tomography (CT) scan of the affected area, treatment is the administration of oral non-steroidal anti-inflammatory drugs (NSAID), for a few weeks and/or oral steroid. We present a new 3 cases (27, 35, and 24 years old, male) and review of literature.

摘要

颈椎周围的钙化被认为是相对罕见的病例,在这些情况中,颈长肌的钙化被称为咽后肌腱炎,文献中仅报道了几例。在这种疾病中,三个典型的临床特征是无任何诱因的急性严重颈后部疼痛、严重受限的活动范围和吞咽痛。影像学表现包括颈椎侧位片上咽后间隙肿胀和C1-C2前方的无定形钙化。通过详细的病史采集结合患区的计算机断层扫描(CT)来确诊,治疗方法是口服非甾体抗炎药(NSAID)数周和/或口服类固醇。我们报告了3例新病例(年龄分别为27岁、35岁和24岁,男性)并对文献进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d528/2769402/a3326a2273d4/1757-1626-0002-0000008103-001.jpg

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