• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of International Medical Research >Bilateral leg pain and unilateral calf atrophy caused by polymyositis accompanying lumbar spinal stenosis and disc herniation: a case report
【24h】

Bilateral leg pain and unilateral calf atrophy caused by polymyositis accompanying lumbar spinal stenosis and disc herniation: a case report

机译：双侧腿部疼痛和单侧小牛萎缩由伴随腰椎脊柱狭窄和椎间盘突出症引起的：案例报告

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Polymyositis is a subgroup of idiopathic inflammatory myopathies characterized by symmetric proximal limb weakness and chronic skeletal muscle inflammation. We herein report the first case of bilateral leg pain and unilateral calf atrophy caused by polymyositis accompanying lumbar spinal stenosis and disc herniation. A 52-year-old man presented with intermittent claudication and calf pain that had become gradually aggravated during the last 3 months. Magnetic resonance imaging showed spinal stenosis at the L3/4 and L4/5 levels and lumbar disc herniation at the L4/5 level. Preoperative laboratory investigations revealed elevated muscle enzyme concentrations. Magnetic resonance imaging also showed atrophy, fatty degeneration, and edema in both calf muscles. Histological examination showed inflammatory myositis and fibrosis in the perifascicular connective tissues. The patient was diagnosed with polymyositis. We performed decompressive laminectomy at the L3/4 and L4/5 levels and discectomy at the L4/5 level. After administration of prednisolone for 6 months and methotrexate for 3 months, the patient’s bilateral calf pain and abnormal laboratory findings improved. The combination of surgical decompression and adequate medical treatment resulted in a successful recovery. Polymyositis should be suspected in patients with lumbar spinal stenosis or lumbar disc herniation who exhibit increased muscle enzyme concentrations or lower extremity muscle atrophy.
机译：多膜是一种特征性炎症性肌病的亚组，其特征是对称近肢弱点和慢性骨骼肌炎症。我们在此报告了伴随腰椎狭窄和椎间盘突出症引起的双侧腿部疼痛和单侧小牛萎缩的第一种情况。一个52岁的男子介绍了间歇性的跛行和小牛疼痛，在过去3个月内逐渐加剧。磁共振成像显示L3 / 4和L4 / 5水平和L4 / 5水平的脊柱狭窄。术前实验室研究显示肌肉酶浓度升高。磁共振成像也显示出萎缩，脂肪变性和小牛肌肉的水肿。组织学检查显示炎症性肌炎和纤维化在外膜结缔组织中。患者被诊断出患有聚肌炎。我们在L3 / 4和L4 / 5水平上进行了减压的椎板切除术，并在L4 / 5水平下进行椎间盘切除术。在施用泼尼松龙6个月后3个月，患者的双侧小牛疼痛和异常实验室结果得到改善。外科减压和适当的医疗的组合导致成功恢复。应怀疑腰椎狭窄或腰椎椎间盘突出症患者的患者，患有增加的肌肉酶浓度或下肢肌肉萎缩。

著录项

相似文献

  • 外文文献
  • 中文文献
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号