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¿°ÀüÀ» µ¿¹ÝÇÑ Ã´Ãß °æ¸· ³» ½Å°æÁýÁ¾: Áõ·Ê º¸°í Spinal Intradural Schwannoma with Torsion: A Case Report

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À̼ÒÁ¤, ±è»óÀ±, ±è¿µÁø, À±°æ¿í,
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À̼ÒÁ¤ ( Lee So-Jeong ) 
Dankook University Hospital Department of Radiology

±è»óÀ± ( Kim Sang-Yoon ) 
Dankook University Hospital Department of Radiology
±è¿µÁø ( Kim Young-Jin ) 
Dankook University Hospital Department of Neurosurgery
À±°æ¿í ( Yoon Kyeong-Wook ) 
Dankook University Hospital Department of Neurosurgery

Abstract

ôÃß °æ¸· ³» ½Å°æÁýÁ¾¿¡ ¿°ÀüÀÌ µ¿¹ÝµÇ´Â °æ¿ì´Â µå¹°´Ù. ¿ìÃø ¾ûÄ¡ ÅëÁõ°ú ÇÏÁö ¹æ»çÅëÀ» ÁÖ¼Ò·Î ³»¿øÇÑ 63¼¼ ³²ÀÚÀÇ ¿äÃß ¼öÁØ¿¡¼­ °æ¸· ³» ½Å°æÁýÁ¾ÀÌ ¹ß°ßµÇ¾ú´Ù. ÀÌ ½Å°æÁýÁ¾Àº Á¶¿µÁõ°­ ÀÚ±â°ø¸í¿µ»ó¿¡¼­ Á¶¿µÁõ°­ÀÌ ÀßµÇÁö ¾Ê¾Ò°í, ÀÚ±â°ø¸í¿µ»ó ¹× ô¼öÁ¶¿µ-Àü»êÈ­´ÜÃþÃÔ¿µ ¿µ»ó¿¡¼­ °Ë»çÇÒ ¶§¸¶´Ù À§Ä¡°¡ ¹Ù²î¾ú´Ù. ȯÀÚ´Â ¼ö¼úÀû ÀýÁ¦¸¦ ¹Þ¾ÒÀ¸¸ç ½Å°æÁýÁ¾Àº ¿°ÀüÀ» µ¿¹ÝÇÏ°í ÀÖ¾ú´Ù.

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.

Å°¿öµå

Schwannoma; Torsion, Mechanical; Spine; Cauda Equina

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