Ranjan Manish, Mahadevan Anita, Prasad Chandrajit, Sommana Samapth, Susarla Krishna Shankar
Department of Neurosurgery, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore - 560 029, India.
Department of Neuropathology, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore - 560 029, India.
J Neurosci Rural Pract. 2013 Oct;4(4):439-42. doi: 10.4103/0976-3147.120234.
Kümmell's disease is a rare form of vertebral body osteonecrosis, which develops as a delayed post-traumatic event. It is infrequently reported in literature and to the best of our knowledge, has not been reported from India. We describe the clinical, radiological, and pathological features of a case occurring in a 60-year-old man and relevant brief review of the literature of this rare disease. Its close resemblance to more commonly occurring bony tuberculosis poses a diagnostic dilemma particularly in developing country like India, where tuberculosis is endemic. Awareness of this entity, though rare, is essential to avoid unnecessary diagnostic work up and treatment.
库姆尔病是椎体骨坏死的一种罕见形式,它作为一种创伤后延迟性事件而发生。文献中对此报道较少,据我们所知,印度尚未有相关报道。我们描述了一名60岁男性患者的临床、放射学和病理学特征,并对这种罕见疾病的相关文献进行了简要综述。它与更常见的骨结核极为相似,这在印度这样结核病流行的发展中国家尤其造成了诊断上的两难困境。认识到这种疾病,尽管罕见,但对于避免不必要的诊断检查和治疗至关重要。