지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 88 - 93 (6page)
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초록· 키워드
오류제보하기
Among the factors causing lower extremity weakness in patients with lumbar vertebral osteomyelitis (VO), comorbid lumbar radiculopathy and iliopsoas pyomyositis represent complex and mixed patterns of paralysis and may be difficult to diagnose. Here we report the case of a 64-year old female patient with lumbar VO at the level of the L3-4 vertebrae.
She presented with lower back pain and paralysis of the left lower extremity rapidly progressed to MRC grade 2/5 in the hip flexor and knee extensor muscles. The EMG of iliopsoas pyomyositis demonstrated a pattern similar to that of inflammatory necrotizing myopathies: short duration, low amplitude, and polyphasic motor unit action potentials with florid fibrillation. Other EMG findings of acute L4 radiculopathy developed concomitantly, potentially due to direct compression of spinal nerve roots by lumbar epidural abscess and/or aggravation of the spinal lesions. This report demonstrates interesting diagnostic challenges for the diagnosis of lower extremity weakness during the progression of lumbar VO.
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등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Al-Khodairy AT / 1997 / Iliopsoas bursitis and pseudogout of the knee mimicking L2-L3 radiculopathy: case report and review of the literature / Eur Spine J 6 : 336 ~ 341
Al-Shekhlee A / 2003 / Iatrogenic complications and risks of nerve conduction studies and needle electromyography / Muscle Nerve 27 : 517 ~ 526
Alpantaki K / 2007 / Vertebral osteomyelitis, epidural and psoas abscess after epidural catheter use / Acta Orthop Belg 73 : 670 ~ 673
Asnani M / 2010 / Bilateral psoas abscesses and vertebral osteomyelitis in a patient with sickle cell disease / BMJ Case Rep
Barr K / 2013 / Electrodiagnosis of lumbar radiculopathy / Phys Med Rehabil Clin N Am 24 : 79 ~ 91
Al-Shekhlee A / 2003 / Iatrogenic complications and risks of nerve conduction studies and needle electromyography / Muscle Nerve 27 : 517 ~ 526
Alpantaki K / 2007 / Vertebral osteomyelitis, epidural and psoas abscess after epidural catheter use / Acta Orthop Belg 73 : 670 ~ 673
Asnani M / 2010 / Bilateral psoas abscesses and vertebral osteomyelitis in a patient with sickle cell disease / BMJ Case Rep
Barr K / 2013 / Electrodiagnosis of lumbar radiculopathy / Phys Med Rehabil Clin N Am 24 : 79 ~ 91
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