RESUMO
Actinomycosis with spinal involvement is very rare. We report a case of spinal actinomycosis with symptoms of spnal cord compression. A 55-year-old women had quadriparesis without evidence of systemic infection. In MRI findings, perivertebral granulomaous mass was compressing the sipinal cord at the level of first thoracic sipine with the signal change of cord and bony destruction. The patient was treated with two-staged opreations, antibiotics and rehabilitation training. She has improved neurologically and also in general condition. Due to rarity of incidence of entity, we reviewed the pertinent literature with discussion of diagnosis, treatment and the prognosis of this disease.
Assuntos
Feminino , Humanos , Pessoa de Meia-Idade , Actinomicose , Antibacterianos , Diagnóstico , Granuloma , Incidência , Imageamento por Ressonância Magnética , Prognóstico , Quadriplegia , Reabilitação , Compressão da Medula Espinal , Medula EspinalRESUMO
Osteochondroma is the most common type of benign bone tumor, but it is unusual in the spine and they rarely present with compression of the spinal cord. We treated a male patient with a solitary osteochondroma of the thoracic spine that caused spinal cord compression. Computed tomography and magnetic resonance images demonstrated a mass arising from the T5 vertebrae, projecting into the spinal canal compressing the spinal cord. Diagnosis was confirmed by surgery and histological study of the resected specimen.