Torakal Granülamatöz İltihap
Özet
Elli bir yaşındaki kadın hasta, üç aydır devam eden yürüme güçlüğü ve alt ekstremitelerdeki güç kaybı şikayetleriyle başvurmuş; yapılan incelemelerde T9-10 seviyelerinde omuriliği sıkıştıran bir lezyon saptanmıştır. Tedavi sürecinde, nöromonitörizasyon eşliğinde gerçekleştirilen operasyonla T9-10 seviyelerine transpediküler yaklaşımla vertebral kolon rezeksiyonu uygulanmış ve stabilizasyon için asansör kafes (expandable cage) yerleştirilmiştir. Patoloji sonucu "Nekrotizan Granülomatöz İltihap" olarak belirlenen hastanın cerrahi sonrası ikinci ayında, fizik tedavi desteğiyle yeniden yürümeye başladığı gözlemlenmiştir.
A 51-year-old female patient presented with a three-month history of walking difficulties and lower limb weakness, leading to the discovery of a lesion at the T9-10 level causing spinal cord compression. The surgical intervention involved a T9-10 vertebral column resection via a transpedicular approach and the implantation of an expandable cage for reconstruction and stabilization. Following a pathology report of "Necrotizing Granulomatous Inflammation," the patient regained the ability to walk with support by the second postoperative month after undergoing physical therapy.
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