Middle-aged man with shoulder and neck soreness mistakenly thought of cervical vertebral disease, but unexpectedly suffered from a rare disease

MrMao, !---- who was in his prime, initially thought he had a common office disease, cervical vertebral disease, when he first developed symptoms of shoulder and neck soreness, but he didn't expect to get a rare disease called eosinophilionmulti-party fruitless cause of diagnosis of the mystery of 36-year-old MrMao, is a worker in an electronics factory in Dongguanone day in early June, he inexplicably felt a sore shoulder, especially his left shoulderMrMao thought it was due to fatigue, and it didn't take it seriouslya week later, he again had a sore left shoulder, which "spread" from the shoulder to the upper left arm, and numbness in his left handmore serious is that at night sleep, lying flat will also wake up, can only sleep sideways, seriously affecting normal life and worksuspected he had cervical vertebral disease, so MrMao hurried to a nearby hospitalthis check, and it turned out that something was wrongthe hospital cervical vertebract CT, MRI examination suggested that MrMao cervical vertebral 5 vertebrae bone damage, lesions pressure the spinal cordbut not what Mr Mao thought - doctors told him it was not cervical vertebral disease that caused him shoulder pain, but most likely a cervical tumorhearing it could be a tumor, MrMao's family was very nervous for a definitive diagnosis, Mr Mao went to another hospital for examination this time the results of the examination indicate that cervical 5 vertebral lesions associated with vertebrau abscess, doctors think that cervical vertebral tuberculosis is more likely after the relevant treatment, Mr Mao's symptoms did not improve, also failed to identify the specific cause after many inquiries, Mr Mao, accompanied by his family, transferred to Guangdong 39 Brain Hospital carefully investigate the cause of the disease to determine the treatment plan of our hospital orthopaedic Seodo Yasheng director after receiving a consultation, Mr Mao carried out a detailed examination of the body Chai Yasheng believes that according to the current image examination and symptoms of patients, can not rule out cervical nodules or cervical tumors possible, it is recommended to improve the tumor eight, tuberculosis T-SPOT, cervical vertebral enhancement MRI scan, cervical vertebral arterial CTA and other examination, if necessary, PET-CT examination, and then decide on the next treatment plan PET-CT Tip: C5 vertebral and left vertebral arch root expansion osteobone bone damage and soft tissue lump formation, increased sugar metabolism, consider malignant lesions i.m imaging examination tips: neck 5 spinal bone damage, expansion of osteobone bone damage and soft tissue mass formation, compression of the rear spinal cord and nerve roots, consider the possibility of spinal tumor orthopaedic team discussed in detail the diagnosis and treatment plan: surgery should be as complete as possible to remove the cervical 5 vertebral tumor, free out of the vertebral artery, to avoid injury because the operation is a high-risk, difficult surgery, orthopaedic team made adequate preoperative preparation and emergency plan Before surgery: cervical magnetic resonance suggests that the cervical 5 vertebral mid-back - left vertebral arch root patch is abnormally high signal, the corresponding epidural sac is pressured, the left intervertebral hole narrows, the C5 vertebrae is slightly dented after surgery: review cervical CT, cervical 5 vertebral swelling and left vertebral arch root removal thoroughly, spinal cord, nerve root decompression thoroughly, the inner fixed position is good precision removal of lesions after the elimination of pain with the consent of Mr Mao and his family, the orthopaedic team for Mr Mao to implement "neck front cervical 5 spinal tumor removal , cervical disc removal , vertebral artery free , spinal cord nerve decompression , take the tibia titanium cage fusion titanium plate screw fixation ." under the electron microscope, Chai Yasheng fine operation, for the patient completely removed the lesions, the patient's spinal cord to be de-stressed surgery, Mr Mao's left upper arm pain, numbness completely disappeared Both frozen pathology and postoperative immunoheticization in are indicative of Langerham's syndrome (eosinophilic granuloma) in medicine, eosinophilic granuloma and Letterer-Siwr (LS) disease, Hand-Schuler-Christian (HSC) disease is a disease of different ages, different systems of different manifestations, between the transformation or overlap its common pathological characteristics are the large number of Langerham's cell hyperpluse associated with eosic granulocytes and lymphocyte immersion in the lesions in the tissues under the optical microscope The clinical manifestations of eosinophilic granuloma tend to lack specificity, and when it is affected by nerve roots or spinal cords, different degrees of radiation pain can occur, or even lead to paralysis eosinophilic granuloma is good for children aged 5-15 in practice, the incidence of the disease is low in the population, about 1/150000, which is a rare disease occurred in the spine about 6.5%-25%, of which the incidence of thoracic vertebrae was the highest (54%), followed by lumbar (35%) and cervical vertebrae (11%) "Seventy-low probability how could I catch up with that? "Just as Mr Mao doesn't understand how he got this rare disease, the current medicine doesn't know the cause of the disease in the treatment, with the development of surgical techniques and internal fixation devices, the surgical treatment of osteophile acidoblastoma in the spine can not only remove the lesions, restore or rebuild the stability of the spine, but also achieve perfect orthopaedics need to emphasize that the treatment of spinal acidic granomasshoulde should be multidisciplinary and collaborative comprehensive treatment, only in this way, in order to achieve better treatment results source: Guangdong 39 Brain Hospital, !-- content display end- !-- to determine whether the login ends-