Okada T, Hasegawa M, Yamashima T, Yamashita J, Kitani R
Department of Neurosurgery, Kanazawa University School of Medicine, Japan.
No Shinkei Geka. 1993 Nov;21(11):1043-7.
A 19-year-old girl was admitted with a history of difficulty in moving her neck for several years and a sudden onset of neck pain three months before. Plain radiographs of the cervical spine revealed destruction of the left half of the 6th cervical body with an expansive soap-bubble appearance. Neurological examination on admission was within normal limits. The angiography and bone scintigraphy revealed no abnormality. MRI of T1-weighted image showed a cystic lesion with various signal intensities. T2-weighted image demonstrated a hyperintense balloon-like lesion in the vertebral body and left lamina. At surgery, a cystic tumor was fully extirpated by the posterior approach and the bony defect was packed with apatite granules. She was discharged without any neurological deficits. This disease should be considered as one of the etiologies when a patient with difficulty in neck movement is encountered in young generation.
一名19岁女孩因颈部活动困难数年且3个月前突然出现颈部疼痛入院。颈椎X线平片显示第6颈椎体左半侧破坏，呈膨胀性肥皂泡样外观。入院时神经学检查正常。血管造影和骨闪烁显像未发现异常。T1加权像MRI显示一个信号强度各异的囊性病变。T2加权像显示椎体和左侧椎板内有一个高信号的气球样病变。手术中，通过后路将囊性肿瘤完全切除，骨缺损用磷灰石颗粒填充。她出院时无任何神经功能缺损。当遇到年轻一代颈部活动困难的患者时，应将这种疾病视为病因之一。
