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与肾性骨营养不良相关的胸段脊髓狭窄。基于磁共振成像和计算机断层扫描的诊断。

Thoracic spinal stenosis associated with renal osteodystrophy. Diagnosis based on magnetic resonance imaging and computed tomography.

作者信息

Wagle V G, Rossi A J, Roberts M P, Goldman R, Ziter F, Clark W E

机构信息

Department of Neurosurgery, Radiology, and Pathology, Hartford Hospital, Connecticut.

出版信息

Spine (Phila Pa 1976). 1993 Aug;18(10):1373-5. doi: 10.1097/00007632-199308000-00020.

DOI:10.1097/00007632-199308000-00020
PMID:8211372
Abstract

We describe a case of thoracic myelopathy in a patient with renal osteodystrophy. The patient had chronic renal failure for longer than 20 years and had skeletal changes indicative of renal osteodystrophy, before the onset of myelopathy. Association between spinal stenosis and this entity has been documented only once before in the lumbar region. This is therefore the first case of thoracic myelopathy due to severe stenosis in just one vertebra in a patient with renal osteodystrophy, which was documented by computed tomography as well as magnetic resonance imaging and proven by histopathology.

摘要

我们描述了一例患有肾性骨营养不良的患者出现胸段脊髓病的病例。该患者患有慢性肾衰竭超过20年,在脊髓病发作之前就有提示肾性骨营养不良的骨骼改变。脊髓狭窄与该病症之间的关联此前仅在腰椎区域有过一次记录。因此,这是首例因肾性骨营养不良患者单个椎体严重狭窄导致胸段脊髓病的病例,通过计算机断层扫描以及磁共振成像记录,并经组织病理学证实。

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