Scarpinati M, Artico M, Artizzu S
Department of Neurosurgery, Military Polyclinic, Rome, Italy.
Neurosurg Rev. 1995;18(3):209-12. doi: 10.1007/BF00383729.
Eosinophilic granuloma is an uncommon lesion, often self-limiting. A location in the spine is rare; until now, only 35 cases have been reported. MRI is the most effective diagnostic technique, although conventional X-ray can also be useful as a first approach. Therapy consists of immobilization of the patients, surgery and chemotherapy as required by to the clinical findings of the lesion. The role of radiotherapy is still controversial. The authors describe the fourth case of eosinophilic granuloma of the cervical spine with neurological symptoms reported in literature.
嗜酸性肉芽肿是一种罕见的病变,通常具有自限性。发生于脊柱的情况较为罕见;截至目前,仅有35例病例被报道。磁共振成像(MRI)是最有效的诊断技术,尽管传统X线检查作为初步检查手段也可能有用。治疗包括让患者制动,根据病变的临床情况进行手术和化疗。放疗的作用仍存在争议。作者描述了文献中报道的第四例伴有神经症状的颈椎嗜酸性肉芽肿病例。