Kim Sung Min, Lee Ki Chang, Paeng Sung Hwa, Pyo Se Yeong, Jung Yong Tae
Department of Neurosurgery, Busan Paik Hospital, Inje University School of Medicine, Busan, Korea.
Korean J Neurotrauma. 2017 Oct;13(2):180-182. doi: 10.13004/kjnt.2017.13.2.180. Epub 2017 Oct 31.
Thoracolumbar paraspinal myonecrosis can be developed with various etiologies. It can induce compartment syndrome of spinal muscles and cause elevated pressure on back muscles, resulting in severe back pain. Thoracolumbar paraspinal myonecrosis is a very rare disease. There are only a few studies about paraspinal myonecrosis. Here we report a case of a spontaneous thoracolumbar paraspinal myonecrosis in a patient who had asymptomatic abdominal aortic dissection. Through this case, etiologies, clinical features, radiologic findings, and treatment options for thoracolumbar paraspinal myonecrosis are discussed.
胸腰段椎旁肌坏死可由多种病因引起。它可诱发脊柱肌肉的骨筋膜室综合征,并导致背部肌肉压力升高,从而引起严重的背痛。胸腰段椎旁肌坏死是一种非常罕见的疾病。关于椎旁肌坏死的研究仅有少数。在此,我们报告一例患有无症状腹主动脉夹层的患者发生自发性胸腰段椎旁肌坏死的病例。通过该病例,对胸腰段椎旁肌坏死的病因、临床特征、影像学表现及治疗选择进行了讨论。