肺结核——“伟大的伪装者”，在一名20岁女性中表现为哑铃状硬脊膜内髓外肿瘤。
Tuberculosis - 'The great masquerader' presenting as a dumb-bell-shaped intradural extramedullary tumor in a 20-year-old female.
作者信息
Rajgopalan Mukunth, Srivastava Amit, Dhammi Ish K, Jain Anil K
机构信息
Department of Orthopaedics, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi 110095, India.
出版信息
J Clin Orthop Trauma. 2017 Apr-Jun;8(2):168-170. doi: 10.1016/j.jcot.2016.06.011. Epub 2016 Jun 22.
Abstract
Tuberculosis has been known as the great masquerader for its varied presentations. We present an extraordinary case of a 20-year-old female who presented with paraparesis of two months. MRI showed an intradural, extramedullary dumb-bell-shaped, spinal cord tumor. With a provisional clinicoradiological diagnosis of benign nerve sheath tumor (schwannoma/neurofibroma), laminectomy was done. But after durotomy, frank pus was drained from the site of lesion and the laboratory investigations of the tissue and pus obtained proved it to be tubercular. This is a rare case reported in the literature where tuberculosis is mimicking as a dumb-bell-shaped, spinal cord tumor.
摘要
肺结核因其多样的临床表现而被称为“伟大的伪装者”。我们报告了一例罕见病例，一名20岁女性，出现了两个月的双下肢轻瘫。磁共振成像（MRI）显示硬膜内、髓外哑铃形脊髓肿瘤。初步临床放射学诊断为良性神经鞘瘤（施万细胞瘤/神经纤维瘤），遂进行了椎板切除术。但打开硬脑膜后，病变部位引出了大量脓液，对获取的组织和脓液进行实验室检查后证实为结核。这是文献中报道的罕见病例，即结核病伪装成哑铃形脊髓肿瘤。
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本文引用的文献
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Clin Orthop Surg. 2010 Dec;2(4):260-3. doi: 10.4055/cios.2010.2.4.260. Epub 2010 Nov 5.
2
Intradural extramedullary tuberculoma of the thoracic spine: paradoxical response to antituberculous therapy.胸椎硬膜内髓外结核瘤：对抗结核治疗的矛盾反应。
Intern Med. 2008;47(8):797-8. doi: 10.2169/internalmedicine.47.0839. Epub 2008 Apr 16.
3
Spinal dumbbell tumors: an analysis of a series of 118 cases.脊髓哑铃形肿瘤：118例病例分析
J Neurosurg Spine. 2007 Dec;7(6):587-93. doi: 10.3171/SPI-07/12/587.
4
Concurrent syringomyelia and intradural extramedullary tuberculoma as late complications of tuberculous meningitis.并发脊髓空洞症和硬脊膜内髓外结核瘤作为结核性脑膜炎的晚期并发症。
J Clin Neurosci. 2007 Dec;14(12):1225-30. doi: 10.1016/j.jocn.2006.05.013.
5
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Pediatr Neurosurg. 2007;43(6):541-3. doi: 10.1159/000108805.
6
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Lung. 2006 May-Jun;184(3):187-93. doi: 10.1007/s00408-005-2579-7.
8
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10
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J Neurosurg. 1984 Jan;60(1):200-3. doi: 10.3171/jns.1984.60.1.0200.
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