61.一位60歲的女性,有嚴重的下背痛且行走困難。脊椎X光檢查顯示第四、五腰椎椎莖(pedicle)完整、椎間盤空隙變窄
(disc space narrowing)、椎體終板破壞(endplate erosion)。依照X光結果判斷,下列何者是最適當的診斷?
(A)惡性腫瘤轉移
(B)椎間盤退化性病變
(C)脊椎感染
(D)脊椎滑脫症
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統計: A(16), B(87), C(42), D(10), E(0) #1152030
統計: A(16), B(87), C(42), D(10), E(0) #1152030
詳解 (共 3 筆)
#4066486
The winking eye or winking owl sign refers to the appearances of the spine, when a pedicle is absent - almost always due to a bony metastasis.
The usual appearance of the pedicles representing two eyes on the AP projection is lost, as one pedicle is destroyed - it then appears like one eye is open and the other is winking or shut.
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