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ȯÃߺΠÈıÃÀÇ ÀÌ»ó¹ß»ýÀ¸·Î ÀÎÇÑ ÀϽÃÀû »çÁöºÎÀü¸¶ºñ -Áõ·Ê º¸°í- Transient Quadriparesis due to Dysgenesis of the Posterior Arch of the Atlas -Case Report-

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¾È±¤¾÷/Kwang Up Ahn È«¼ø±â/Ȳ±Ý/º¯Áø¼ö/±èÇåÁÖ/ÇÑ¿ëÇ¥/Çãö/Soon Ki Hong/Kum Whang/Jhin Soo Pyen/Hun Joo Kim/Yong Pyo Han/Chul Hu

Abstract

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°æÃߺΠôÃß°ü ÇùÂøÁõ(cervical spinal stenosis)Àº Áß°£ ¶Ç´Â ÇϺΠôÃß¿¡¼­ ÁÖ·Î ÅðÇ༺
Áúȯ(degenerative disease)ÀÇ ÀÌÂ÷ÀûÀÎ º´º¯À¸·Î ¹ß»ýÇϸç, ¶§·Î´Â ¿Ü»óÀ̳ª ÈÄÁ¾ÀδëÀÇ ¼®
ȸȭ·Î ÀÎÇÏ¿© ¹ß»ýÇϱ⵵ Çϳª ¼±ÃµÀûÀΠȯÃß(atlas)ÀÇ ÀÌ»ó¿¡ ÀÇÇÑ Ã´Ãß°ü ÇùÂøÁõÀº ¸Å¿ì
µå¹°´Ù.
ÀúÀÚµéÀº ȯÃßÀÇ ÀÌ»ó¹ß»ýÀ¸·Î ÀÎÇÏ¿© ÀÌÂ÷ÀûÀΠôÃß°ü ÇùÂøÁõÀ» º¸ÀΠȯÀÚ¿¡¼­ °ú°ÝÇÑ
¸ñ¿îµ¿½Ã ¹Ýº¹ÀûÀ¸·Î ÀϽÃÀû »çÁöºÎÀü¸¶ºñ (recurrent transient quadriparesis)°¡ ÃÊ·¡µÇ´Â 1
·Ê¸¦ Ä¡Çè ÇÏ¿´±â¿¡ À̸¦ º¸°íÇÏ°íÀÚ ÇÑ´Ù.
#ÃÊ·Ï#
Acase of 14-year-old student is presented with the complaint of recurrent attack of
transient quadriparesis during hyperextension of the neck. On 3-dimensional spinal CT
and MRI. the authors confirmed intrusion of posterior tubercle of the atlas with
increased signal on T1- and T2- weighted image was found. The clinical manifestations
were improved without having cervical instability after a posterior laminectomy of the
atlas.

Å°¿öµå

Cervical spinal stenosis; Dysgenesis; Posterior arch; Atlas Transient quadriparesis;

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