| Autor: |
LaBan MM; Department of Pnysical Medicine and Rehabilitation, William Beaumont Hospital, Royal Oak, Michigan 48073, USA., Riutta JC |
| Jazyk: |
angličtina |
| Zdroj: |
American journal of physical medicine & rehabilitation [Am J Phys Med Rehabil] 2003 Oct; Vol. 82 (10), pp. 820-3. |
| DOI: |
10.1097/01.PHM.0000087457.02231.FE |
| Abstrakt: |
A 33-yr-old man presented with a 4-yr history of neck pain. Previous work-ups, including planar radiographs and magnetic resonance imaging, were determined as "normal" by six previous consultants. In a subsequent in-office evaluation by a physiatrist, a vertebral osteoid osteoma or carotid artery angiitis was clinically suspected. A bone scan of the cervical spine was consistent with a the presence of an of osteoid osteoma. Thereafter, repeat magnetic resonance imaging confused the issue by suggesting the presence osteomyelitis involving the C3-C4 facet joint. Spiral cervical spine computed tomography with digital reconstruction once again demonstrated the presence of an osteoblastoma. The patient was subsequently referred to a spinal surgeon for biopsy and resection, which confirmed the presence of an osteoblastoma. Although benign cervical neoplasms presenting as neck pain occur most often in a pediatric population, at any age, the differential diagnosis of intractable neck pain should include the possibility of a primary osseous or metastatic tumor. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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