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Spinal Intradural Schwannoma with Torsion: A Case Report
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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.
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Schwannoma; Torsion, Mechanical; Spine; Cauda Equina
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