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黄韧带钙化所致的神经根型颈椎病脊髓病

Cervical radiculomyelopathy due to calcified ligamenta flava.

作者信息

Kamakura K, Nanko S, Furukawa T, Mannen T, Toyokura Y

出版信息

Ann Neurol. 1979 Feb;5(2):193-5. doi: 10.1002/ana.410050214.

DOI:10.1002/ana.410050214
PMID:426482
Abstract

Two cases of cervical radiculomyelopathy were apparently caused by calcification of the ligamenta flava. Similar cases have not previously been described, although myelopathy due to calcified thoracolumbar ligamenta flava is occasionally reported. Radiological study is necessary for diagnosis. Surgical removal of the calcified masses was followed by improvement in the symptoms. In 1 patient, the disease was associated with pseudogout in the menisci of the knee joints, pubic symphysis, and acetabular lips. The cause and pathogenesis of this rare condition are unknown.

摘要

两例颈椎神经根脊髓病显然是由黄韧带钙化引起的。尽管偶尔有因胸腰椎黄韧带钙化导致脊髓病的报道,但此前尚未描述过类似病例。诊断需要进行影像学检查。手术切除钙化肿块后症状有所改善。在1例患者中,该病与膝关节半月板、耻骨联合和髋臼唇的假性痛风有关。这种罕见病症的病因和发病机制尚不清楚。

相似文献

1
Cervical radiculomyelopathy due to calcified ligamenta flava.黄韧带钙化所致的神经根型颈椎病脊髓病
Ann Neurol. 1979 Feb;5(2):193-5. doi: 10.1002/ana.410050214.
2
Calcium pyrophosphate dihydrate deposition disease causing thoracic cord compression: case report.二水焦磷酸钙沉积病导致胸段脊髓受压:病例报告
Neurosurgery. 2000 Jan;46(1):222-5.
3
Cervical radiculomyelopathy caused by deposition of calcium pyrophosphate dihydrate crystals in the ligamenta flava. Case report.由二水焦磷酸钙晶体沉积于黄韧带引起的颈神经根脊髓病。病例报告。
J Neurosurg. 1980 Feb;52(2):279-83. doi: 10.3171/jns.1980.52.2.0279.
4
[Radiculomyelopathy due to calcification of the cervical ligamenta flava--report of 2 cases and a review of literature].
No To Shinkei. 1983 Jan;35(1):83-90.
5
Cervical myelopathy due to calcification of the ligamentum flavum.
Aust N Z J Surg. 1988 Mar;58(3):247-9. doi: 10.1111/j.1445-2197.1988.tb01046.x.
6
Tumoural calcinosis of the cervical spine: case report, pathogenesis and differential diagnosis.颈椎肿瘤性钙化:病例报告、发病机制及鉴别诊断
Br J Neurosurg. 2005 Apr;19(2):185-90. doi: 10.1080/02688690500145811.
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Disorders of tumoral calcification of the spine: illustrative case study and review of the literature.脊柱肿瘤性钙化症:病例分析及文献综述
J Spinal Disord Tech. 2007 Feb;20(1):97-103. doi: 10.1097/01.bsd.0000211278.83647.9e.
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Cervical radiculomyelopathy due to calcification of the ligamenta flava.
Surg Neurol. 1984 May;21(5):479-88. doi: 10.1016/0090-3019(84)90454-3.
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Calcification of ligamentum flavum causing spinal cord compression in a stroke patient.
Arch Phys Med Rehabil. 1994 Feb;75(2):226-8.
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Computed tomography in calcification of ligamenta flava of the cervical spine.
J Comput Assist Tomogr. 1983 Aug;7(4):704-6. doi: 10.1097/00004728-198308000-00023.

引用本文的文献

1
Changes in basic metabolic elements associated with the degeneration and ossification of ligamenta flava.与黄韧带退变和骨化相关的基础代谢元素的变化
J Spinal Cord Med. 2008;31(3):279-84. doi: 10.1080/10790268.2008.11760723.
2
Crystals, joints, and consternation.晶体、关节与惊愕。
Ann Rheum Dis. 1983 Jun;42(3):243-53. doi: 10.1136/ard.42.3.243.