Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Spinal Intradural Schwannoma with Torsion: A Case Report

염전을 동반한 척추 경막 내 신경집종: 증례 보고

  • So Jeong Lee (Department of Radiology, Dankook University Hospital) ;
  • Sang Yoon Kim (Department of Radiology, Dankook University Hospital) ;
  • Young Jin Kim (Department of Neurosurgery, Dankook University Hospital) ;
  • Kyeong-Wook Yoon (Department of Neurosurgery, Dankook University Hospital)
  • 이소정 (단국대학교병원 영상의학과) ;
  • 김상윤 (단국대학교병원 영상의학과) ;
  • 김영진 (단국대학교병원 신경외과) ;
  • 윤경욱 (단국대학교병원 신경외과)
  • Received : 2019.12.27
  • Accepted : 2020.04.02
  • Published : 2020.11.01
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Abstract

Intradural schwannoma accompanied with torsion is rare. Intradural lumbar schwannoma was found in a 63-year-old man presenting with right sacral pain radiating to the lower extremity. This mass showed minimal enhancement on MRI. The tumor's location changed each time on MRI and CT-myelography. The patient underwent surgical resection and the cauda equina, linked to this schwannoma, was severely twisted.

척추 경막 내 신경집종에 염전이 동반되는 경우는 드물다. 우측 엉치 통증과 하지 방사통을 주소로 내원한 63세 남자의 요추 수준에서 경막 내 신경집종이 발견되었다. 이 신경집종은 조영증강 자기공명영상에서 조영증강이 잘되지 않았고, 자기공명영상 및 척수조영-전산화단층촬영 영상에서 검사할 때마다 위치가 바뀌었다. 환자는 수술적 절제를 받았으며 신경집종은 염전을 동반하고 있었다.

Keywords

References

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