脊柱痛风与脊椎间孔的透:一个罕见的病例,完美模仿退行性腰椎疾病
Fangke Hu1, Lu Xue1, Dong Zhao1
1Department of Spine Surgery, Tianjin Hospital, Tianjin University, Tianjin 300000, P.R. China.
Experimental and therapeutic medicine
|January 18, 2024
概括
这项研究介绍了脊柱痛风在脊椎间孔中的第一个病例,模仿了退行性磁盘疾病. 早期诊断和治疗对于管理这种罕见的疾病和预防神经系统衰退至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 神经学 神经学
- 类风湿病学 类风湿病学
背景情况:
- 脊髓痛风是一种罕见的疾病,具有显著的临床表现.
- 脊椎间孔中的甲状腺痛风可以模仿退行性腰椎椎间盘疾病.
- 一名57岁的男性有痛风病史,呈现出逐渐恶化的神经系统恶化.
研究的目的:
- 报告第一个脊柱痛风的病例,该病例在脊椎间中呈现为托弗斯.
- 突出诊断挑战和成功管理这种罕见的疾病.
- 强调在有痛风病史的患者的差异诊断中考虑脊髓痛风的重要性.
主要方法:
- 一个患有神经症状的患者的病例介绍.
- 诊断成像 (显示双边L5 / S1脊椎间孔狭窄).
- 神经根阻塞,带有基因病理学确认的开放手术和术后药物治疗.
主要成果:
- 经过神经根堵塞和手术,患者的神经症状完全得到缓解.
- 组织病理学证实了脊柱痛风 (上性病变).
- 患者实现了完全缓解,并在1年的随访中没有出现恶化.
结论:
- 脊柱痛风在脊椎间中的多很少见,可以模仿退行性腰椎椎间盘疾病.
- 整形外科医生应考虑在患有痛风病史并出现神经症状的患者中治疗脊髓痛风.
- 早期诊断和医疗管理可以防止神经系统的损害和手术的需要.
相关概念视频
Herniated Intervertebral Disc l: Introduction
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
Degenerative Disc Disease I: Introduction
Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...
Degenerative Disc Disease ll: Pathophysiology
The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...


