Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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An Intradural Extramedullary Hemangioblastoma of Distal Spinal Cord - A Case Report -

척수 원위부에 발생한 경막내수막외 혈관아세포종 - 증례보고 -

  • Park, Sung-Ho (Department of Neurosurgery, Konkuk University Medical Center, Minjoong Hospital) ;
  • Cho, Joon (Department of Neurosurgery, Konkuk University Medical Center, Minjoong Hospital) ;
  • Youn, Seung-Whan (Department of Neurosurgery, Konkuk University Medical Center, Minjoong Hospital) ;
  • Chang, Sang-Keun (Department of Neurosurgery, Konkuk University Medical Center, Minjoong Hospital)
  • 박성호 (건국대학교 의료원 민중병원 신경외과학교실) ;
  • 조준 (건국대학교 의료원 민중병원 신경외과학교실) ;
  • 윤승환 (건국대학교 의료원 민중병원 신경외과학교실) ;
  • 장상근 (건국대학교 의료원 민중병원 신경외과학교실)
  • Received : 2000.04.17
  • Accepted : 2000.07.04
  • Published : 2000.11.28
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Abstract

It has been known that hemangioblastoma of spinal cord occurs about 4% of all the spinal tumors. The authors present a rare case of intradural extramedullary(IDEM) hemangioblastoma of distal spinal cord in 41-year-old male patient. This IDEM mass at the level of conus medullaris showed iso-signal intensities on T1-weighted image(T1-WI) and high-signal intensities on T2-WI, and was enhanced homogeneously on MRI. At surgery, T12- L1 total laminectomy and enbloc mass removal were performed. This IDEM hemangioblastoma was confirmed by histopathologic findings. For less postoperative complication in IDEM tumors, we suggest that precise preoperative evaluation and complete excision via proper surgical approach to distal conus should be reemphasized.

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