颈椎后凸的一种罕见病因。
An unusual cause of cervical kyphosis.
作者信息
Raj Mamtha S, Schwab Joseph H
机构信息
Department of Spine Orthopaedics, Massachusetts General Hospital, Yawkey 3A, 55 Fruit St., Boston, MA 02114, USA.
Department of Spine Orthopaedics, Massachusetts General Hospital, Yawkey 3A, 55 Fruit St., Boston, MA 02114, USA.
出版信息
Spine J. 2017 Feb;17(2):e7-e9. doi: 10.1016/j.spinee.2016.09.008. Epub 2016 Sep 21.
BACKGROUND CONTEXT
Acute fixed cervical kyphosis may be a rare presentation of conversion disorder, psychogenic dystonia, and potentially as a side effect from typical antipsychotic drugs. Haldol has been associated with acute dystonic reactions. In some cases, rigid deformities ensue. We are reporting a case of a fixed cervical kyphosis after the use of Haldol.
PURPOSE
To present a case of a potential acute dystonic reaction temporally associated with Haldol ingestion leading to fixed cervical kyphosis.
STUDY DESIGN
This is a case report.
METHODS
A patient diagnosed with bipolar disorder presented to the emergency room several times with severe neck pain and stiffness. The neck appeared fixed in flexion with extensive osteophyte formation over a 3-month period.
RESULTS
The patient's condition was resolved by a posterior-anterior-posterior surgical approach. It corrected the patient's cervical curvature from 88° to 5°.
CONCLUSIONS
Acute dystonic reactions have the potential to apply enough pressure on bone to cause rapid osteophyte formation.
背景
急性固定性颈椎后凸可能是转换障碍、精神性肌张力障碍的罕见表现，也可能是典型抗精神病药物的潜在副作用。氟哌啶醇与急性肌张力障碍反应有关。在某些情况下，会出现僵硬畸形。我们报告一例使用氟哌啶醇后出现固定性颈椎后凸的病例。
目的
报告一例可能与摄入氟哌啶醇时间相关的急性肌张力障碍反应导致固定性颈椎后凸的病例。
研究设计
这是一篇病例报告。
方法
一名被诊断为双相情感障碍的患者多次因严重颈部疼痛和僵硬前往急诊室。在3个月的时间里，颈部似乎固定在屈曲位，有广泛的骨赘形成。
结果
通过前后路联合手术方法解决了患者的病情。将患者的颈椎曲度从88°矫正到了5°。
结论
急性肌张力障碍反应有可能对骨骼施加足够的压力，导致骨赘快速形成。
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