Department of Neurosurgery, Kantonsspital Aarau, Aarau, Switzerland; Faculty of Medicine, University of Bern, Bern, Switzerland.
Department of Neuroradiology, Kantonsspital Aarau, Aarau, Switzerland.
World Neurosurg. 2021 Aug;152:29-30. doi: 10.1016/j.wneu.2021.05.121. Epub 2021 Jun 16.
We report a middle-aged man with a history of back pain and right-sided sciatica. Magnetic resonance imaging revealed an atypical disk fragment with radiologic characteristics of a spinal tumor. Follow-up imaging shows resolution of the lesion. Clinical symptoms resolved simultaneously. Clinical and radiologic characteristics cannot distinguish atypical disk herniation from tumors. While no imaging method allows distinguishing between these 2 entities, resolution of a disk herniation is not uncommon. In the absence of muscle weakness, follow-up imaging rather than surgery is advised in order to clarify its true entity.
我们报告了一例中年男性,有背痛和右侧坐骨神经痛病史。磁共振成像显示一个非典型的椎间盘碎片,具有脊柱肿瘤的影像学特征。随访影像学显示病变消退。临床症状同时缓解。临床和影像学特征无法区分非典型椎间盘突出和肿瘤。虽然没有影像学方法可以区分这两种病变,但椎间盘突出症的消退并不罕见。在没有肌肉无力的情况下,建议进行随访影像学检查而不是手术,以明确其真正的性质。