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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 621 - 625 (5page)
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초록· 키워드
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Posterior epidural migration of a lumbar intervertebral disc fragment (PEMLIF) is uncommon because of anatomical barriers. It is difficult to diagnose PEMLIF definitively because of its relatively rare incidence and the ambiguity of radiological findings resembling spinal tumors. This case report describes a 76-year-old man with sudden-onset weakness and pain in both legs. Electromyography revealed bilateral lumbosacral polyradiculopathy with a mass-like lesion in L2-3 dorsal epidural space on lumbosacral magnetic resonance imaging (MRI). The lesion showed peripheral rim enhancement on T1-weighted MRI with gadolinium administration. The patient underwent decompressive L2-3 central laminectomy, to remove the mass-like lesion. The excised lesion was confirmed as an intervertebral disc. The possibility of PEMLIF should be considered when rim enhancement is observed in the epidural space on MRI scans and electrodiagnostic features of polyradiculopathy with sudden symptoms of cauda equina syndrome.
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참고문헌 (10)
참고문헌 신청
Teufack SG / 2010 / Dorsal epidural intervertebral disk herniation with atypical radiographic findings: case report and literature review / J Spinal Cord Med 33:268~271
Chen CY / 2006 / Posterior epidural migration of a sequestrated lumbar disk fragment: MR imaging findings / AJNR Am J Neuroradiol 27:1592~1594
Dumitru D / 2002 / Electrodiagnostic medicine. 2nd ed. / Hanley & Belfus Inc.
Tobimatsu S / 1998 / Effects of sex, height and age on motor evoked potentials with magnetic stimulation / J Neurol 245:256~261
El Asri AC / 2008 / Posterior epidural migration of lumbar disk fragments: report of two cases and review of the literature / Surg Neurol 70:668~671
Chen CY / 2006 / Posterior epidural migration of a sequestrated lumbar disk fragment: MR imaging findings / AJNR Am J Neuroradiol 27:1592~1594
Dumitru D / 2002 / Electrodiagnostic medicine. 2nd ed. / Hanley & Belfus Inc.
Tobimatsu S / 1998 / Effects of sex, height and age on motor evoked potentials with magnetic stimulation / J Neurol 245:256~261
El Asri AC / 2008 / Posterior epidural migration of lumbar disk fragments: report of two cases and review of the literature / Surg Neurol 70:668~671
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