요추 신경근병증으로 발현된 순수한 경막외 해면상 혈관종
Pure Extradural Cavernous Hemangioma Presenting as a Lumbar Radiculopathy
고은실, 서한길, 이자호, 백남종,
소속 상세정보
고은실 ( Koh Eun-Sil )
서울대학교 의과대학 재활의학교실
서한길 ( Seo Han-Gil )
서울대학교 의과대학 재활의학교실
이자호 ( Leigh Ja-Ho )
서울대학교 의과대학 재활의학교실
백남종 ( Paik Nam-Jong )
서울대학교 의과대학 재활의학교실
KMID : 0361420100340020238
Abstract
Pure epidural cavernous hemangiomas of the spinal canal are extremely rare. We describe a case of lumbar epidural hemangioma suspected as a lumbar radiculopathy in a 78-year-old man who presented with a 1-month history of the low back pain and right lower extremity pain. An electrodiagnostic study demonstrated right L4 radiculopathy. Noncontrast magnetic resonance image (MRI) showed a nodular lesion suggestive of a sequestered disc with compression of right L4 root, most likely. Contrast MRI revealed an oval enhancing nodular lesion, 1.4×0.5 cm in size, indicative of a hemangioma in right anterior epidural space at L4 level. He underwent an excisional biopsy. The pathological diagnosis was cavernous hemangioma. His symptoms resolved after the operation. Spinal epidural cavernous hemangioma should be considered as a cause of a lumbar radiculopathy.
키워드
Cavernous hemangioma;Epidural space;Radiculopathy
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