지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 215 - 218 (4page)
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초록· 키워드
오류제보하기
Occasionally, unexpected neurological deficits occur after lumbar spinal surgery. We report a case of monoparesis after lumbar decompressive surgery. A 63-year-old man, who had undergone decompression of L4-5 for spinal stenosis 4 days previously in the other hospital, visted the emergency department with progressive weakness in the left leg and hypoesthesia below sensory level T7 on the right side. He had been cured of lung cancer with chemotherapy and radiation therapy 10 years previously, but detailed information of radiotherapy was not available. Whole spine magnetic resonance (MR) imaging showed fatty marrow change from T1 to T8, most likely due to previous irradiation. The T2-weighted MR image showed a high-signal T4-5 spinal cord lesion surrounded by a low signal rim, and the T1-weighted MR image showed focal high signal intensity with focal enhancement. The radiological diagnosis was vascular disorders with suspicious bleeding. Surgical removal was refused by the patient. With rehabilitation, the patient could walk independently without assistance 2 months later. Considering radiation induced change at thoracic vertebrae, vascular disorders may be induced by irradiation. If the spinal cord was previously irradiated, radiation induced vascular disorders needs to be considered.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Cahan WG. / 1998 / Sarcoma arising in irradiated bone : report of eleven cases. 1948 / Cancer 82:8~34
Dagi TF. / 1987 / Tandem lumbar and cervical spinal stenosis. Natural history, prognostic indices, and results after surgical decompression / J Neurosurg 66:842~849
Ducray F. / 2008 / Postradiation lumbosacral radiculopathy with spinal root cavernomas mimicking carcinomatous meningitis / Neuro Oncol 10:1035~1039
Epstein NE. / 1984 / Coexisting cervical and lumbar spinal stenosis : diagnosis and management / Neurosurgery 15:489~496
Gaensler EH. / 1994 / Radiation-induced telangiectasia in the brain simulates cryptic vascular malformations at MR imaging / Radiology 193:629~636
Dagi TF. / 1987 / Tandem lumbar and cervical spinal stenosis. Natural history, prognostic indices, and results after surgical decompression / J Neurosurg 66:842~849
Ducray F. / 2008 / Postradiation lumbosacral radiculopathy with spinal root cavernomas mimicking carcinomatous meningitis / Neuro Oncol 10:1035~1039
Epstein NE. / 1984 / Coexisting cervical and lumbar spinal stenosis : diagnosis and management / Neurosurgery 15:489~496
Gaensler EH. / 1994 / Radiation-induced telangiectasia in the brain simulates cryptic vascular malformations at MR imaging / Radiology 193:629~636
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