遗传性多发性骨软骨瘤致颈1颈2脊髓受压：病例报告及文献复习
C1 C2 spinal cord compression in hereditary multiple exostoses: case report and review of the literature.
作者信息
Jemel Nesrine, Gader Ghassen, Bedioui Aziz, Zammel Ihsen, Badri Mohamed
机构信息
Department of Neurosurgery, Burns and Trauma Center, El Manar-Tunis University, Tunisia.
Department of Neurosurgery, Burns and Trauma Center, El Manar-Tunis University, Tunisia.
出版信息
Int J Surg Case Rep. 2021 Dec;89:106576. doi: 10.1016/j.ijscr.2021.106576. Epub 2021 Nov 3.
INTRODUCTION AND IMPORTANCE
Hereditary multiple exostoses (HME) is a benign disease, usually encountered in the metaphysis of long bones. On the opposite, spinal localizations are very rare. We herein describe a case of HME with a spinal cord compression.
CASE PRESENTATION
A 31-years-old patient with a history of HME, presented with signs of cervical spinal cord compression that progressively appeared in the last 10 years. Cervical MRI and CT scan showed a compressive osseous tumor arising from the surface of the right side of the dorsal arch of the axis. Our patient underwent C1C2 laminectomy, but no clinical improvement has been recorded postoperatively.
CLINICAL DISCUSSION
Spinal cord compression is an extremely serious complication of hereditary multiple exostoses (HME). The cervical and thoracic areas were predominantly affected, with the symptoms usually developing slowly. Early surgery is correlated to good postoperative outcomes.
CONCLUSION
Despite its rarity, HME should be considered as a possible cause for spinal cord compression.
引言与重要性
遗传性多发性骨软骨瘤（HME）是一种良性疾病，通常发生于长骨的干骺端。相反，脊柱部位的病变非常罕见。我们在此描述一例伴有脊髓压迫的HME病例。
病例介绍
一名31岁有HME病史的患者，出现颈脊髓压迫症状，这些症状在过去10年中逐渐出现。颈椎MRI和CT扫描显示，在枢椎椎弓右侧表面出现一个压迫性骨肿瘤。我们的患者接受了C1C2椎板切除术，但术后未见临床改善。
临床讨论
脊髓压迫是遗传性多发性骨软骨瘤（HME）极其严重的并发症。颈椎和胸椎区域受影响为主，症状通常发展缓慢。早期手术与良好的术后结果相关。
结论
尽管罕见，但HME应被视为脊髓压迫的可能病因。
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