面具背后的诊断：一例罕见的感染性夏科氏脊柱病病例。

Diagnosis behind the mask: A rare case of infected Charcot's spine.

作者信息

Kučinskaite Giedre, Lutz Theodor, Frey Sönke, Wetterkamp Mark, Schulte Tobias L, Lukas Carsten

机构信息

Department of Diagnostic and Interventional Radiology, St. Josef Hospital, Ruhr University of Bochum, Gudrunstrasse 56, Bochum, 44791, Germany.

Department of Diagnostic and Interventional Radiology, St. Marien Hospital Hamm, Germany.

出版信息

Radiol Case Rep. 2023 Jun 7;18(8):2800-2805. doi: 10.1016/j.radcr.2023.05.012. eCollection 2023 Aug.

DOI:10.1016/j.radcr.2023.05.012

PMID:37324554

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10267433/

Abstract

Charcot's spine is a very uncommon long-term complication of spinal cord injury. Infection of the spine is a common pathology, but infection of a Charcot's spine is rare and is challenging to diagnose, especially in differentiating between the Charcot defect and the osteomyelitis defect. Surgical reconstruction has to be extremely individualized. A 65-year-old man with a history of thoracic spinal cord injury with paraplegia 49 years ago was admitted to our hospital with high fever and aphasia. After a thorough diagnostic process, destructive Charcot's spine and secondary infection were diagnosed. This report additionally reviews the surgical management of secondary infected destructive lumbar Charcot's spine and follows the patient's recovery and postoperative quality of life.

摘要

夏科氏脊柱是脊髓损伤一种非常罕见的长期并发症。脊柱感染是一种常见的病理情况，但夏科氏脊柱感染罕见且诊断具有挑战性，尤其是在鉴别夏科氏缺损和骨髓炎缺损方面。手术重建必须高度个体化。一名65岁男性，49年前有胸段脊髓损伤伴截瘫病史，因高热和失语入住我院。经过全面的诊断过程，诊断为破坏性夏科氏脊柱并继发感染。本报告还回顾了继发感染的破坏性腰椎夏科氏脊柱的手术治疗情况，并跟踪了患者的康复情况及术后生活质量。