儿童颈椎管内可疑椎体骨软骨瘤1例
Chinese Journal of Bone and Joint Injury(2019)
Abstract
笔者于2018-05-29诊治1例儿童颈椎管内可疑椎体骨软骨瘤,报道如下.
1 病例报道
患者,男,8岁,因“外伤致颈背部疼痛、活动受限1周”入院.门诊查颈椎CT显示寰枢关节半脱位,C3、4椎管内可见片状致密影.门诊以“寰枢关节半脱位”收治,专科查体:颈部疼痛,向左侧偏斜,颈部活动受限;四肢运动、感觉未见明显异常;生理反射存在,病理征未引出.临床诊断:寰枢关节半脱位,颈椎管占位.入院第2天颈椎MRI显示椎管内占位与椎体后缘相连,范围0.7 cm×1.2 cm,局部后纵韧带掀起致局部椎管狭窄,考虑新生物为骨软骨瘤.因患者椎管内占位但无脊髓压迫症状,未予特殊处理.入院后行枕颌带持续牵引,1周后患者诉颈背部疼痛及活动受限缓解,办理出院,嘱患者门诊定期随访.出院5个月后复查颈椎CT显示寰枢关节复位良好,C3、4椎间隙及椎管内见点片状致密影,椎管内占位明显缩小.
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