脊髓空洞症并发左肩关节夏科关节病1例
发布时间:2019-03-02 12:03
【摘要】:正患者男,63岁,因"左肩关节胀痛10年,加重20天"入院。既往无糖尿病及结核病史。查体:体温正常,左肩关节皮肤完整,软组织肿胀,感觉减退,被动活动正常,主动活动受限。X线检查:左肱骨头及肩峰骨质破坏,呈"刀削样"改变,轻度骨膜反应(图1A)。CT:左肩关节间隙内见多发游离碎骨及钙化斑;左肩峰及左肱骨头缺损(图1B)。MRI:全颈段脊髓内见异常信号,T1WI呈低信号,T2WI呈高信号(图1C)。影像学提示:颈
[Abstract]:A 63-year-old male was admitted to hospital for 10 years of distension of his left shoulder and 20 days of aggravation. There was no history of diabetes and tuberculosis. Body examination: normal body temperature, skin integrity of left shoulder joint, swelling of soft tissue, hypoaesthesia, normal passive movement, limited active activity. X-ray examination: bone destruction of left humeral head and shoulder showed "knife-like" changes. Light periosteal reaction (fig. 1A). CT: left shoulder joint space) showed multiple free bone fragments and calcified spots. Left shoulder peak and left humeral head defect (fig. 1B). MRI: abnormal signal was seen in the whole cervical spinal cord, T1WI was low signal and T2WI was high signal (Fig. 1C). Imaging findings: neck
【作者单位】: 大连医科大学附属第二医院放射科;
【分类号】:R684;R744.4;R816
本文编号:2433034
[Abstract]:A 63-year-old male was admitted to hospital for 10 years of distension of his left shoulder and 20 days of aggravation. There was no history of diabetes and tuberculosis. Body examination: normal body temperature, skin integrity of left shoulder joint, swelling of soft tissue, hypoaesthesia, normal passive movement, limited active activity. X-ray examination: bone destruction of left humeral head and shoulder showed "knife-like" changes. Light periosteal reaction (fig. 1A). CT: left shoulder joint space) showed multiple free bone fragments and calcified spots. Left shoulder peak and left humeral head defect (fig. 1B). MRI: abnormal signal was seen in the whole cervical spinal cord, T1WI was low signal and T2WI was high signal (Fig. 1C). Imaging findings: neck
【作者单位】: 大连医科大学附属第二医院放射科;
【分类号】:R684;R744.4;R816
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