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
- 279 - 282 (4page)
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초록· 키워드
오류제보하기
A 48-year-old woman presented with acute voiding difficulty, numbness and weakness of both lower extremities. Magnetic resonance imaging (MRI) showed an intramedullary hemorrhagic mass that extended from T9 to T10. T8-T10 laminotomy and surgical removal of the hemorrhagic mass was performed. The pathological diagnosis was hematoma. Her neurological status remained the same after the operation. At 5 days post-operation, the patient suddenly became paraplegic, and MRI that was immediately performed revealed a recurrent intramedullary hemorrhage. Emergent surgical evacuation was performed. Again, histological examination showed only hematoma, without any evidence of abnormal vessels or a tumor. A postoperative MRI revealed no abnormal lesions other than those resulting from postoperative changes. At a 9-month follow up, the patient could walk a short distance with the aid of a walker. Because spontaneous intramedullary hemorrhage with unknown etiology is very rare, it is essential to perform a meticulous inspection of the hemorrhagic site to find the underlying cause. Repeated hemorrhage can occur; therefore, close observation of patients after surgery is important in cases without an apparent etiology. Urgent surgical evacuation is important to improve outcomes in these cases.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Aulakh R. / 2009 / Spontaneous hematomyelia in a child with hemophilia A : a case report / J Pediatr Hematol Oncol 31:766~767
Barnwell SL. / 1990 / Cryptic vascular malformations of the spinal cord : diagnosis by magnetic resonance imaging and outcome of surgery / J Neurosurg 72:403~407
Brandt M. / 1980 / Spontaneous intramedullary haematoma as a complication of anticoagulant therapy / Acta Neurochir(Wien) 52:73~77
Chao CH. / 2013 / Idiopathic spontaneous intraspinal intramedullary hemorrhage : a report of two cases and literature review / Clin Neurol Neurosurg 115:1134~1136
Hwang JH. / 2000 / Spontaneous hematomyelia : Case report / J Korean Neurosurg Soc 29:411~419
Barnwell SL. / 1990 / Cryptic vascular malformations of the spinal cord : diagnosis by magnetic resonance imaging and outcome of surgery / J Neurosurg 72:403~407
Brandt M. / 1980 / Spontaneous intramedullary haematoma as a complication of anticoagulant therapy / Acta Neurochir(Wien) 52:73~77
Chao CH. / 2013 / Idiopathic spontaneous intraspinal intramedullary hemorrhage : a report of two cases and literature review / Clin Neurol Neurosurg 115:1134~1136
Hwang JH. / 2000 / Spontaneous hematomyelia : Case report / J Korean Neurosurg Soc 29:411~419
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