특발성 비대척수경막염 - 1예 보고 -
Idiopathic Hypertrophic Spinal Pachymeningitis: A Case Report
김은경, 김완섭, 주종은, 이원미, 문병관, 김현숙,
소속 상세정보
김은경 ( Kim Eun-Kyung )
을지병원 해부병리과
김완섭 ( Kim Wan-Seop )
을지병원 해부병리과
주종은 ( Joo Jong-Eun )
을지병원 해부병리과
이원미 ( Lee Won-Mi )
을지병원 해부병리과
문병관 ( Moon Byng-Kwan )
을지병원 신경외과
김현숙 ( Kim Hyun-Suk )
을지병원 방사선과
KMID : 0357920020360040278
Abstract
We report a case of idiopathic hypertrophic spinal pachymeningitis in a 56-year-old woman who complained of a tingling sensation and progressive weakenss of both legs since 6 months prior, and then was unable to walk for 1 week. Magnetic resonance imaging showed a low signal intensity of dural and epidural mass in the T7-T11. The mass was concentrically compressing the spinal cord and extending to the paraspinal area through the intervertebral foramina. Total laminectomy from T7 to T12 and mass removal were done. The mass was composed of markedly thickened dura mater. Microscopic examination showed fibrous thickening with hyalinization and infiltration of chronic inflammatory cells, mainly lymphocytes. Idiopathic hypertrophic spinal pachymeningitis is a rare disease causing progressive paraparesis that can resemble other disorders associated with spinal compression.
키워드
Meningitis;Paraparesis;Spinal Cord Compression
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