Abu-Ghanem Sara, Ohana Nissim, Abu-Ghanem Yasmin, Kittani Mohamed, Shelef Ilan
Department of Diagnostic Imaging, Soroka University Medical Center, Faculty of Health Sciences Ben Gurion University, Beer Sheva, Israel.
Asian Spine J. 2013 Jun;7(2):131-5. doi: 10.4184/asj.2013.7.2.131. Epub 2013 May 22.
Schmorl nodes represent displacement of intervertebral disc tissue into the vertebral body and have been considered as an asymptomatic incidental radiological finding on plain radiographs, computed tomography and magnetic resonance imaging (MRI). Although uncommon, acute symptomatic Schmorl nodes causing severe back pain do occur. We report here an unusual case of acute painful Schmorl node in a young healthy woman, with no previous trauma, presenting with a sudden significant localized back pain within hours accompanied by characteristic findings on a MRI scan. We reviewed all reports of symptomatic Schmorl nodes known in the literature, focusing mainly on MRI findings, and recent treatment options.
施莫尔结节是指椎间盘组织移位至椎体,在X线平片、计算机断层扫描和磁共振成像(MRI)上一直被视为无症状的偶然影像学发现。虽然不常见,但确实会出现引起严重背痛的急性症状性施莫尔结节。我们在此报告一例年轻健康女性的急性疼痛性施莫尔结节罕见病例,该患者既往无外伤史,数小时内突然出现明显的局部背痛,并伴有MRI扫描的特征性表现。我们回顾了文献中已知的所有症状性施莫尔结节报告,主要关注MRI表现和近期的治疗选择。