Rousseaux P, Lerais J M, Scherpereel B, Bernard M H, Pluot M
Neurochirurgie. 1982;28(6):429-32.
A spinal cord compression due to intradural meningioma appeared in two patients with vertebral X-Rays lesions of foreknown Paget's disease. These lesions were located at the same level that the meningioma in the second case and three vertebra below the meningioma in the first case. In both cases, it took one year between the first clinical symptoms and the surgical decision. We truly think the Paget's disease and its X-Rays vertebral lesions to be responsible for the waist of time in myelography and surgical schedule. No other case of meningioma associated with Paget's disease has been found through literature. Because the treatment of Paget's disease paraplegia is now mostly medical, we thought important to report our experience in order to avoid other delays in this unusual diagnosis.
两名患有已知佩吉特氏病且有脊椎X线病变的患者出现了硬膜内脑膜瘤导致的脊髓压迫。在第二例中,这些病变位于与脑膜瘤相同的水平,在第一例中位于脑膜瘤下方三个椎体水平。在这两例中,从首次临床症状出现到做出手术决定均间隔了一年时间。我们确实认为佩吉特氏病及其脊椎X线病变是导致脊髓造影和手术安排延误的原因。通过文献检索未发现其他脑膜瘤与佩吉特氏病相关的病例。由于目前佩吉特氏病截瘫的治疗大多采用药物治疗,我们认为报告我们的经验很重要,以避免在这种不寻常的诊断中出现其他延误。