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Rehabilitation Practice and Science

Translated Title

頸僵硬之成年女性的頸椎巨細胞瘤：病例報告

Abstract

Giant-cell tumor of the bone is relatively common in young adults, especially those in the third decades of life. This tumor occurs most frequently in long bones, such as the distal femur or proximal tibia, but rarely in the cervical spine. Giant-cell tumor of the cervical spine is rarely considered in the differential diagnosis of neck pain; thus, diagnosis of giant-cell tumor of the cervical spine is typically delayed or misdiagnosed. We present a case of giant-cell tumor of the cervical spine in a 25-year-old woman initially diagnosed with neck stiffness and muscle strain. She developed upper trunk numbness in 3 days. An X-ray of the patient's cervical spine revealed a pathological fracture of the fourth vertebra. Magnetic resonance imaging also showed a tumor-like lesion compressing the spinal cord at the fourth vertebra. The patient underwent surgical tumor resection, and the pathologic findings of the lesion finally confirmed a diagnosis of giant-cell tumor. Following surgery, the patient experienced good recovery without any obvious neurologic deficits. We present this case to discuss the clinical manifestations of giant-cell tumor of the bone and the differential diagnosis of neck stiffness and pain with a reviewarticle of current literature. Additionally, conventional plain films play a role in common screening. (Tw J Phys Med Rehabil 2012; 40(1): 53 - 57)

Language

Traditional Chinese

First Page

53

Last Page

57

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