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종결 Case No. 142 0000-00-00~0000-00-00
출제자 : 관리자 Hit : 293
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Period 0000-00-00~0000-00-00
Diagnosis
Clinical information 45세 여자, 왼쪽 다리 통증으로 내원. 허리 수술 과거력 없음.
Discussion Diagnosis: Periannular vascularised granulation and scar tissue due to annular tear

고찰: Zone of granulation tissue with extensive innervations along annular tears may be responsible for causing the pain of discography and of discogenic low back pain. The adjacent tissues surrounding the annular tears were replaced by disorganized and vascularised granulation and scar tissue.

참고문헌
1. Peng B, Wu W, Li Z, et al. Chemical radiculitis. Pain 2007;127:11-6.
2. Peng B, Hou S, Wu W, et al. The pathogenesis and clinical significance of a high-intensity zone (HIZ) of lumbar intervertebral disc on MR imaging in the patient with discogenic low back pain. Eur Spine J 2006;15:583-7.
3. Bogduk N, Tynan W, Wilson AS. The nerve supply to the human lumbar intervertebral discs. J Anat 1981;132:39-56.
4. Burke JG, Watson RW, McCormack D, et al. Intervertebral discs which cause low back pain secrete high levels of proinflammatory mediators. J Bone Joint Surg Br 2002;84:196-201.
5. Crock HV. Internal disc disruption. A challenge to disc prolapse fifty years on. Spine 1986;11:650-3.
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