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【medical-news】硬膜外类风湿性结节所致腰部神经
[My paper] Nori Hirohashi, Toshinori Sakai, Koichi Sairyo, Koichi Oba, Kosaku Higashino, Shinsuke Katoh, Natsuo Yasui
The authors report on a 51-year-old woman with a 9-year history of rheumatoid arthritis (RA) who presented with symptomatic rheumatoid nodules in the lumbar extradural region with compression on the L-5 nerve roots bilaterally. She had also suffered from dysesthesia in the right lower leg and intermittent claudication. Magnetic resonance imaging revealed masses compressing the dural sac, and on lumbar myelography and computed tomography myelography a filling defect at L4-5 was revealed, which was compressing the dural sac posterolaterally on both sides. The masses were surgically removed. On histological examination the typical characteristics of rheumatoid nodules were found. Soon after the operation all of the patient's symptoms disappeared. There have been few reports on extradural rheumatoid nodules. Patients with RA usually complain of articular symptoms, and in fact the patient in the present study had been referred to the authors' institution for total hip arthroplasty. However, various symptoms other than those arising from articular lesions were found clinically. The authors believe that if patients with RA are also examined for extraarticular lesions, it is likely that these will be more frequently detected.
http://lib.bioinfo.pl/pmid:17877273
本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 Lumbar radiculopathy caused by extradural rheumatoid nodules
硬膜外类风湿性结节所致腰部神经根病
Abbreviations used in this paper: MR = magnetic resonance; RA = rheumatoid arthritis; RF = rheumatoid factor.
本文所用缩写：MR =磁共振；RA =类风湿性关节炎；RF =类风湿因子。
The authors report on a 51-year-old woman with a 9-year history of rheumatoid arthritis (RA) who presented with symptomatic rheumatoid nodules in the lumbar extradural region with compression on the L-5 nerve roots bilaterally. She had also suffered from dysesthesia in the right lower leg and intermittent claudication. Magnetic resonance imaging revealed masses compressing the dural sac, and on lumbar myelography and computed tomography myelography a filling defect at L4–5 was revealed, which was compressing the dural sac posterolaterally on both sides. The masses were surgically removed. On histological examination the typical characteristics of rheumatoid nodules were found. Soon after the operation all of the patient's symptoms disappeared.
作者报道一51岁老年妇女，有9年的类风湿性关节炎病史，表现为腰部硬膜外引起症状的类风湿性结节压迫双侧L-5神经根。同时伴有右下肢触物感痛及间歇性跛行。磁共振成像显示肿块压迫硬脊膜囊，腰段脊髓造影及脊髓CT成像显示L4–5有充盈缺损，从双侧后侧面压迫硬脊膜囊。肿物被手术移除。组织学检查发现典型的特征性的类风湿性小结。手术后不久，病人的所有症状消失了。
There have been few reports on extradural rheumatoid nodules. Patients with RA usually complain of articular symptoms, and in fact the patient in the present study had been referred to the authors' institution for total hip arthroplasty. However, various symptoms other than those arising from articular lesions were found clinically. The authors believe that if patients with RA are also examined for extraarticular lesions, it is likely that these will be more frequently detected.
很少有关于硬膜外类风湿性结节的报道。类风湿性关节炎患者通常表现为关节症状，实际上该患者还提到去作者的机构行全髋关节成形术。然而临床发现各种并非关节损伤引发的症状。作者相信如果对类风湿性关节炎患者检查关节外损伤，很有可能检测到更多。
KEYWORDS: extradural space; histological examination; lumbar spine; rheumatoid arthritis; rheumatoid nodule.
关键词：硬膜外间隙；组织学检查；腰椎；类风湿性关节炎；类风湿性结节。
编译：
硬膜外类风湿性结节所致腰部神经根病
本文所用缩写：MR =磁共振；RA =类风湿性关节炎；RF =类风湿因子。
作者报道一51岁老年妇女，有9年的类风湿性关节炎病史，表现为腰部硬膜外引起症状的类风湿性结节压迫双侧L-5神经根。同时伴有右下肢触物感痛及间歇性跛行。磁共振成像显示肿块压迫硬脊膜囊，腰段脊髓造影及脊髓CT成像显示L4–5有充盈缺损，从双侧后侧面压迫硬脊膜囊。肿物被手术移除。组织学检查发现典型的特征性的类风湿性小结。手术后不久，病人的所有症状消失了。
很少有关于硬膜外类风湿性结节的报道。类风湿性关节炎患者通常表现为关节症状，实际上该患者还提到去作者的机构行全髋关节成形术。然而临床发现各种并非关节损伤引发的症状。作者相信如果对类风湿性关节炎患者检查关节外损伤，很有可能检测到更多。
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作者:admin@医学,生命科学 2011-04-18 17:11
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