Intramedullary Cavernous Angioma in Cervical Spinal Cord - Case Report -

경수의 수질내 해면상혈관종 - 증례보고 -

  • Kim, Myoung Soo (Department of Neurosurgery, Cheongju Saint Mary's Hospital) ;
  • Hur, Jin Woo (Department of Neurosurgery, Cheongju Saint Mary's Hospital) ;
  • Lee, Jong-Won (Department of Neurosurgery, Cheongju Saint Mary's Hospital) ;
  • Han, Eunmee (Department of Pathology, Cheongju Saint Mary's Hospital) ;
  • Lee, Hyun Koo (Department of Neurosurgery, Cheongju Saint Mary's Hospital)
  • 김명수 (청주성모병원 신경외과) ;
  • 허진우 (청주성모병원 신경외과) ;
  • 이종원 (청주성모병원 신경외과) ;
  • 한은미 (청주성모병원 병리학과) ;
  • 이현구 (청주성모병원 신경외과)
  • Received : 2001.05.17
  • Accepted : 2001.06.20
  • Published : 2001.07.28

Abstract

Cavernous angiomas are being increasingly well recognized throughout the central nervous system due to the widespread use of magnetic resonance imaging(MRI). However, these malformations are uncommon in the spinal column and rarely occur in the spinal cord. Here, we report a case of a cervical cord intramedullary cavernous angioma in a 49-year-old man. The patient had complained of left upper extremity paresthesia and weakness in the left hand for 5 days prior to admission. A neurological examination showed a left C-6 dermatome paresthesia and a weakness in the left hand grasping power. A MRI demonstrated a mixed signal intensity core at the C-5 level and a surrounding edema on the T-2 weighted image. Conservatively, a laminectomy was performed and slightly hard and well demarcated intramedullary mass was removed. A histological examination confirmed the diagnosis of a cavernous angioma.

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