Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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A Case of Tuberculous Spondylitis Combined with Schwannoma of Spinal Cord - A Case Report -

척수 신경초종을 동반한 결핵성 척추염 1례 - 증례보고 -

  • Park, Jong Hoon (Department of Neurosurgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Kyu Hong (Department of Neurosurgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Lee, Woon Gi (Department of Neurosurgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Choi, Jeong Hoon (Department of Neurosurgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Lee, In Chang (Department of Neurosurgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Bae, Sang Do (Department of Neurosurgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine)
  • 박종훈 (성균관대학교 의과대학 마산삼성병원 신경외과학교실) ;
  • 김규홍 (성균관대학교 의과대학 마산삼성병원 신경외과학교실) ;
  • 이운기 (성균관대학교 의과대학 마산삼성병원 신경외과학교실) ;
  • 최정훈 (성균관대학교 의과대학 마산삼성병원 신경외과학교실) ;
  • 이인창 (성균관대학교 의과대학 마산삼성병원 신경외과학교실) ;
  • 배상도 (성균관대학교 의과대학 마산삼성병원 신경외과학교실)
  • Received : 2001.05.04
  • Accepted : 2004.07.20
  • Published : 2001.10.28
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Abstract

The authors report a very rare case of tuberculous spondylitis combined with a schwannoma of spinal cord. A 39- year-old man was admitted because of paraparesis(G1/G2). MRI showed severe cord compression at two different levels. One was by the bulged soft tissue and subligamentous abscess extending from T7 to T9 and the other was by an intradural extramedullary cord tumor at the level of T1-2. At first operation, T8 corpectomy and T7-9 plate fixation with autogenous iliac bone graft were performed. After then, Paraparesis was improved(G2/G3) postoperatively. The second operation underwent two weeks later. The tumor was totally removed and shortly after second operation, paraparesis was markedly improved(G3/G4). Histological diagnosis were tuberculous spondylitis and schwannoma, respectively. The authors reviewed this case where good surgical outcome was obtained by two stage operation.

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