• Title/Summary/Keyword: Extramedullary

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Cervical Subependymoma Presenting as an Extramedullary Tumor

  • Jo, Kwang-Wook;Jung, Ji-Han;Jeun, Sin-Soo;Kim, Moon-Chan
    • Journal of Korean Neurosurgical Society
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    • v.37 no.2
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    • pp.150-153
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    • 2005
  • A rare case of cervical subependymoma in a 45-year-old man is described. The tumor appeared as an extramedullary mass lesion, but a discrete, less well-demarcated portion was observed in the anterolateral part of the cord at the C3-C7 level. Previous reports of spinal subepnedymomas are reviewed, and nosological possibilities of extramedullary presentation are discussed.

Giant Ventral Midline Schwannoma of Cervical Spine : Agonies and Nuances

  • Mahore, Amit;Chagla, Aadil;Goel, Atul
    • Journal of Korean Neurosurgical Society
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    • v.47 no.6
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    • pp.454-457
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    • 2010
  • Pure ventral midline giant schwannoma is an extremely rare entity. Spinal intradural extramedullary schwannomas commonly occur posterolateral or anterolateral to the spinal cord. A case of a pure midline ventrally situated giant pan cervical extramedullary schwannoma in an 18-year-old male patient with compressive myelopathy and sphincter involvement is presented. Spinal MR imaging showed a midline ventrally situated extramedullary tumor with severe spinal cord compression extending from clivus to C7 vertebra. It was resected through a posterolateral approach. Histology was consistent with a schwannoma. Post operative MR imaging showed no evidence of the tumor. The radiological features, pathogenesis and surgical strategies in management of these difficult tumors are discussed and the relevant literature is briefly reviewed.

Mobility of Intradural Extramedullary Schwannoma at Spine : Report of Three Cases with Literature Review

  • Kim, Soo-Beom;Kim, Hyung-Seok;Jang, Jee-Soo;Lee, Sang-Ho
    • Journal of Korean Neurosurgical Society
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    • v.47 no.1
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    • pp.64-67
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    • 2010
  • Although very rare, a few cases of intradural extramedullary (IDEM) spinal tumor migration have been reported since Tomimatsu first reported a mobile schwannoma of the cervical cord in 1974. Schwan noma is a neurogenic tumor which originates from nerve sheath that it is relatively well-marginated tumor with little attachment or adhesion to surrounding tissue. Mobility of tumor in spinal canal sometimes can result in negative exploration at the expected area. We found three interesting cases in which different tumor locations observed in repeated magnetic resonance image (MRI) findings. All tumors were intradural and extramedullary schwannoma. We reviewed the literature about moving tumor in the spine through PUBMED search.

A Case of Intradural Extramedullary Cord Tumor Metastasis from Adenocarcinoma of the Lung (경막내 수외 척수로 전이된 폐선암 1예)

  • Lee, Je-Kyung;Lee, Yong-Chul;Rhee, Yang-Keun
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.2
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    • pp.262-266
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    • 1996
  • Intradural extramedullary spinal metastasis from systemic tumor is extremely rare but epidural extramedullary cord tumor metastasis from the lung is relatively common. A 57 year-old male patient was admitted to department of internal medicine and neurosurgery in Chonbuk National University Hospital because of coughing, low back pain radiate to the right great toe, and numbness of the right calf area. Spinal MRI scan revealed round oval shaped mass lesion on just below the level of the conus medullaris. Authors present the clinical, histologic, radiologic features of spinal intradural metastatic tumor and operative total removal followed by chemothrapy with an extensive review of literatures.

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A Case of Spinal Intradural Extramedullary Cavernous Angioma

  • Chung, Dae-Yeong;Shin, Yong-Hwan;Sung, Joo-Kyung
    • Journal of Korean Neurosurgical Society
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    • v.38 no.1
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    • pp.74-76
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    • 2005
  • Cavernous angiomas represent 5 to 12% of spinal vascular malformations and usually are located at the vertebral body level with possible extension into the extradural space. The intradural intramedullary cavernous angioma occurs in about 3% of cases, whereas extramedullary localization is extremely rare. We report a case of intradural extramedullary cavernous angioma in which the patient presented with low back pain and both leg pain. The magnetic resonance imaging study showed intraspinal mass lesion at L1-2. It was removed totally through laminectomy of L1-2 and confirmed as cavernous angioma. The postoperative course was uneventful without any neurologic deficit. We report this unusual spinal malformation.

Non-Enhancing Intradural Extramedullary Ependymoma: A Case Report (조영증강이 되지 않는 경막내 수외 뇌실막세포종: 증례 보고)

  • Jaemin Kim;Hyunjung Kim;Hyeongju Kwon
    • Journal of the Korean Society of Radiology
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    • v.82 no.5
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    • pp.1341-1345
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    • 2021
  • Spinal ependymomas are generally located in the intramedullary compartment in adults. Intradural extramedullary spinal ependymomas are extremely rare. Spinal ependymomas show various contrast enhancements on MRI. In this study, we report a rare case of a 52-year-old female who had a pathologically confirmed intradural extramedullary ependymoma that showed no enhancement on MRI.

Intradural Extramedullary Spinal Metastasis - A Case Report - (경막하 수외로 전이된 척수암 1례 - 증 례 보 고 -)

  • Shin, Il-Young;Doh, Jae-Won;Yoon, Seok-Mann;Lee, Kyeong-Seok;Bae, Hack-Gun;Yun, Il-Gyu;Choi, Soon-Kwan;Byun, Bark-Jang
    • Journal of Korean Neurosurgical Society
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    • v.29 no.8
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    • pp.1085-1088
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    • 2000
  • Spinal intradural extramedullary metastasis are very rare. The authors report a case of spinal metastasis at the T5 level in the intradural extramedullary space in a 76-year-old man who presented with paraparesis and sciatica. Preoper-ative neuroradiologic imaging studies were highly suggestive of intradural mass lesion with compressive myelopathy. Pathology revealed metastatic squamous cell carcinoma. We describle the mechanism of tumor spread in intradural spinal metastasis.

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Extramedullary Relapse of Acute Lymphoblastic Leukemia Involving the Parotid Gland: A Case Report and Literature Review (급성 림프아구성 백혈병 환자의 이하선에 발생한 골수외 재발: 증례 보고와 문헌 고찰)

  • Nim Lee;Hyun-Hae Cho;Min-Sun, Cho
    • Journal of the Korean Society of Radiology
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    • v.83 no.2
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    • pp.394-399
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    • 2022
  • While extramedullary relapse of leukemia could occur, the parotid gland is a rare site of recurrence. Extramedullary relapse involving the parotid gland could be mistaken for other diseases. Moreover, the diagnosis of this disease is often delayed due to its rarity. Herein, we present a case of extramedullary relapse of acute lymphoblastic leukemia involving the parotid gland.

Intradural Extramedullary Ependymoma with Hemorrhage: A Case Report (출혈을 동반한 경막내 수외 뇌실막세포종: 증례 보고)

  • Changwon Choi;Sun Joo Lee;Sung Hwa Paeng;Hwa Jin Cho
    • Journal of the Korean Society of Radiology
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    • v.84 no.6
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    • pp.1414-1420
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    • 2023
  • In adults, spinal ependymomas are usually found in intramedullary locations. However, intradural extramedullary spinal ependymomas are rare. Additionally, spinal ependymomas usually show iso to hypointensity on T1-weighted images without hemorrhage. Herein, we present a rare case of a 43-year-old female with a pathologically confirmed intradural extramedullary ependymoma that showed hyperintensity on T1-weighted imaging accompanied by hemorrhage.

Extramedullary plasmacytoma in the maxillary sinus: a case report (상악동에 발생한 골수외 형질세포종: 증례보고)

  • Kim, Hyoung-Keun;Hahm, Tae-Hoon;Nam, Woong;Cha, In-Ho;Kim, Hyung-Jun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.6
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    • pp.543-547
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    • 2010
  • Plasmacytoma is a rare malignant neoplasm in the head and neck region and comprises approximately 3% of all plasma cell tumors. This lesion is a unifocal, monoclonal, neoplastic proliferation of plasma cells that usually arises within the bone. Infrequently, it is observed in soft tissue, in which case, the term extramedullary plasmacytoma is used. Approximately 80-90% of extramedullary plasmacytomas involve the mucos-Associated-Lymphoid Tissue of the upper airways with 75% of these involving the nasal and paranasal regions. The plasmacytoma is usually detected in adult males, with an average age at diagnosis of 55 years. The male-to-female ratio is 3:1.Radiographically, the lesion may be seen as a well-defined, unilocularradioluceny with no evidence of a sclerotic border. Some investigators believe that this lesion represents the least aggressive part of the spectrum of plasma cell neoplasms that extend to multiple myeloma.Therefore, plasma cytoma is believed to have clinical importance. We report a case of extramedullary plasmacytoma in the right maxillary sinus of a 59-year-old male with review of the relevant literature.