Mirzashahi Babak, Vahedian Ardakani Mohammad, Farzan Abdonaser
Department of Orthopedic Surgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Department of Neurosurgery, Mofid Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Acta Med Iran. 2014;52(6):484-7.
Brown tumors may occur secondary to hyperparathyroidism in patients with chronic renal failure (CKD). They are increasingly rare because hyperparathyroidism in now diagnosed and treated at an early stage. We report 67-year-old man who had been on hemodialysis for CRF for over 3 years, who presented with back pain over the thoracolumbar junction from 2 years ago and because of pain he could not stand or walk in the last 3 months before surgery. Ambulation was regained after surgical decompression and stabilization. In conclusion, when brown tumor arises in the spine, surgery may be needed to preserve neurologic function.
棕色瘤可能继发于慢性肾衰竭(CKD)患者的甲状旁腺功能亢进。由于甲状旁腺功能亢进现在能在早期被诊断和治疗,棕色瘤越来越罕见。我们报告一名67岁男性,因慢性肾衰竭接受血液透析超过3年,自2年前起出现胸腰段交界处背痛,在手术前的最后3个月因疼痛无法站立或行走。手术减压和稳定治疗后恢复了行走能力。总之,当脊柱出现棕色瘤时,可能需要手术以保留神经功能。