Jerome Terrencejose, Sankaran Balu, Varghese Mathew
St Stephen's Hospital, Delhi, 110054, India.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.06.2008.0066. Epub 2009 Feb 2.
Osteoid osteoma, osteoblastoma, and haemangioma should be included in the differential diagnosis of any young patient with pain in the back or the neck, painful scoliosis, or radicular or referred-type pain into the lower limb or the shoulder. Osteoid osteoma and haemangioma may occur in the same cervical spine and both have a significant importance in the prognosis, management and possible complications. Early diagnosis with a bone scan and computed tomography scan, leading to prompt treatment, decreases the average duration of symptoms by two thirds. Early diagnosis and treatment of symptomatic vertebral haemangiomas is essential to prevent permanent and irreversible neurologic deficit.
骨样骨瘤、骨母细胞瘤和血管瘤应纳入任何有背部或颈部疼痛、疼痛性脊柱侧弯或下肢或肩部神经根性或牵涉性疼痛的年轻患者的鉴别诊断中。骨样骨瘤和血管瘤可能发生在同一颈椎,且在预后、治疗及可能的并发症方面都具有重要意义。通过骨扫描和计算机断层扫描进行早期诊断并及时治疗,可使症状的平均持续时间缩短三分之二。有症状的椎体血管瘤的早期诊断和治疗对于预防永久性和不可逆的神经功能缺损至关重要。