ty -jour a2 -yasuda，taketoshi au -kaneyama，Hironari au -Morishita，Yuichiro au -Kawano，Osamu au -Yamamoto，Takuaki au -Maeda -MAEDA，MAEDA，TAKESHI PY -2020 DA -2020 DA- 2020/20/29 TI -2020/29 TI -PSEUD -PSEUDOGOUTS PSEUDOGOUT腰部脊柱溶解脊柱滑脱的宽病变SP -4512695 VL -2020 AB- 客观的。为了报告一种在患有腰椎脊柱溶解脊椎滑脱的患者中焦磷酸二水合物（CPPD）沉积疾病的急性急性发作的情况，这表明神经功能不全的病变广泛。 方法。一名86岁的妇女出现了下肢的高烧和双侧神经缺陷。 结果。CRP升高（20.9 mg/dl）。平原X光片和计算机断层扫描图像显示了双侧L4脊柱囊脊椎滑星。矢状磁共振（MR）图像显示在L3-4孢子空间处积液，并且在L4椎体的水平上观察到gadolinium-（GD-）增强的硬膜外质量。轴向MR图像显示在L2-3处发生硬膜外或硬膜外病变。此外，硬膜外GD增强质量以L3-4和L4-5节的十字形状压缩了硬脑膜囊。在初始诊断中，怀疑该患者患有腰椎的化脓性关节炎。在荧光镜图像下，总共从L3-4的螺旋间空间吸出了1.2 mL的流体，并带有阴暗的，脓样的滑膜积液。滑液的涂片，测试了细菌和真菌阴性的阴性；但是，看到了许多晶体。 Based on the result of smear speculum, we suspected the pathology as crystal deposition disease. Based on polarized light microscopy, which revealed monocle or triclinic intracellular crystals with a positive birefringence, the patient was diagnosed with pseudogout of the lumbar spine. Nonsteroidal anti-inflammatory drugs (NSAIDs) were administered by intravenous drip injection for 3 days, and local and systemic inflammatory signs, as well as neurological deficits, dramatically improved. 结论。我们遇到了一种罕见的伪病毒急性攻击，而腰部脊柱溶解脊柱滑脱的较大病变。积液的多种培养提供了明确的诊断，可以在8周的NSAID给药中进行适当的，微创的治疗，从而使症状令人满意地恢复。SN -2090-6749 UR -https：//doi.org/10.1155/2020/4512695做 - 10.1155/2020/2020/4512695 JF-矫形器中的病例报告PB- Hindawi KW -er -er- er- er-