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磁共振成像中神经根肿胀酷似椎间盘突出症——病例报告。

Spinal nerve root swelling mimicking intervertebral disc herniation in magnetic resonance imaging -a case report-.

机构信息

Department of Anesthesiology and Pain Medicine, Presbyterian Medical Center, Jeonju, Korea.

出版信息

Korean J Pain. 2010 Mar;23(1):51-4. doi: 10.3344/kjp.2010.23.1.51. Epub 2010 Mar 10.

Abstract

A herniated intervertebral disc is the most common type of soft tissue mass lesion within the lumbar spinal canal. Magnetic resonance imaging (MRI) is a useful tool for the assessment of patients with lower back pain and radiating pain, especially intervertebral disc herniation. MRI findings of intervertebral disc herniation are typical. However, from time to time, despite an apparently classic history and typical MRI findings suggestive of disc herniation, surgical exploration fails to reveal any lesion of an intervertebral disc. Our patient underwent lumbar disc surgery with the preoperative diagnosis of lumbar disc herniation; however, nothing could be found during the surgical procedure, except a swollen nerve root.

摘要

椎间盘突出是腰椎管内最常见的软组织肿块病变类型。磁共振成像(MRI)是评估腰痛和放射性疼痛患者的有用工具,尤其是椎间盘突出症。椎间盘突出症的 MRI 表现具有典型特征。然而,有时尽管有明显的典型病史和提示椎间盘突出的 MRI 表现,但手术探查未能发现任何椎间盘病变。我们的患者接受了腰椎间盘手术,术前诊断为腰椎间盘突出症;然而,手术过程中除了神经根肿胀外,什么也没有发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16f2/2884213/21aeabe4737d/kjp-23-51-g001.jpg

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