388 小児に認め られた.過 性頸椎椎 間板石灰化症 の1症 例 図1初 a.初 診時画像 a.単 正面像 b.単 側面像 c.単 純CT像 d.mri矢 状 断T1強 調像 e.mri矢 状 断T2強 調像 診 時b.5ケ 月 後c.18ケ 図2単 106 側 面像 の経 過 月後
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1 Cervical Intervertebral Disc Calcification in achild -A Case Report- Masayuki Kawashima, Mitsuhiro Takasita, Hirofumi Matsumoto, Shoichi Uchinou, and Hiroshi Tsumura Department of Orthopaedic Surgery, Oita Medical University, Oita, Japan It is said that calcified intervertebral disc was confirmed anatomically by Luschka in 1858, and Benke proved it radiologically with cadaver in In 1922, calcified nucleus pulposus was found by Calve and Galland, and they named it "calcification du nucleus pulposus". Then Barsony renamed it "calcification intervertebralis", because calcification was not seen only in nucleus pulposus but everywhere in the intervertebra. On the other hand, pediatric disc calcificationwas described by Baron in Since then, about 200 cases of children have been reported. In Japan Calcified intervertebral disc is considered rare. In 1932, the cases of a 13- year-old girl and 68-year-old female were described by Mizumachi. Since then, there have been sereval case reports of adults with especially intervertebral thoracial discs, but few reports of children. This paper reports the case of a 12-year-old boy with a calcified intervertebral disc at C 4-5 discovered by neck pain. With conservative treatment, X-rays 18 months later showed complete resolution of the calcification.
2 388 小児に認め られた.過 性頸椎椎 間板石灰化症 の1症 例 図1初 a.初 診時画像 a.単 正面像 b.単 側面像 c.単 純CT像 d.mri矢 状 断T1強 調像 e.mri矢 状 断T2強 調像 診 時b.5ケ 月 後c.18ケ 図2単 106 側 面像 の経 過 月後
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4 1) Baron, A.: Uber eine neue Erkrankung der Wirbelsaule. Jahrb Kinderheilk., 104 : , ) Barsony, T., Koppenstein, E.: Calcinosis intervertebralis. Fortschr, a. d. Geb. d. Rontgenstrahlen., 41: , ) Bollini, G. et al.: Calcifications discales de 1'enfant. Rev. Chir. Orthop., 70 : , ) Coventry, M. B. et al.: Calcification in acervical
5 disc with anterior protrusion and dysphagia. J.Bone Joint Surg., 52-A : , ) Furukawa, K. et al.: Cervical intervertebral-disc calcification in a child. J. Bone Joint Surg., 59-A , ) Jawish, R. et al.: Calcifications discales intervertebrales chez l'enfant. Rev. Chir. Orthop., , ) Lampe, R., Heimkes, B., Pfluger, T.: Protrusion einer verkalkten zervikalen Bandscheibe bei einem 5- jahrigen Jungen. Z. Orthop., 136 : 35-38, ) Newton, T. H.: Cervical intervertebral-disccalcification in children. J. Bone Joint Surg., 40-A : , ) Oga, M. et al.: Herniation of calcified cervical intervertebral disc causes dissociated motor loss in a child. Spine., 18 : , ) Peck, F. C.: A calcified thoracic intervertebral disc with herniation and spinal cord compression in a child. J. Neurosurg., 14 : , ) Schmit, P., Faure, C., Denarnaud, L.: Les calcification discales de l'enfant. J. Radio!., 66 : , ) Smith, H. A. et al.: Calcified cervical intervertebral discs in children. J. Neurosurg, 46 : , ) Sonnabend, D. H. et al.: Intervertebral disc calcification syndromes in children. J. Bone Joint Surg., 64-B : 25-31, ) Weens, H. S.: Calcification of the intervertebral disc in childhood. J. Pediatr., 26 : , 1945.
2) Goetz, A., Tsuneishi, N.: Application of molecular filter membranes to the bacteriological analysis of water, J. Am. Water Works Assn., 43 (12): 943-969,1951. 3) Clark, H.F. et al.: The membrane filter
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移植患者手記 海外研修生手記 Hello, I am DEMET OZCAN. I am a biologist and come from Turkey. I was bom in Amasya. I now live in Ankara which is the capital city of Turkey. I am forty six years ofld and have two children.
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