Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Spontaneous Hematomyelia - Case Report -

자발성 척수내혈종 - 증례보고 -

  • Hwang, Jeong Hyun (Department of Neurosurgery, College of Medicine, Kyungpook National University) ;
  • Sung, Joo Kyung (Department of Neurosurgery, College of Medicine, Kyungpook National University) ;
  • Hwang, Sung Kyoo (Department of Neurosurgery, College of Medicine, Kyungpook National University) ;
  • Hamm, In Suk (Department of Neurosurgery, College of Medicine, Kyungpook National University) ;
  • Park, Yeun Mook (Department of Neurosurgery, College of Medicine, Kyungpook National University) ;
  • Kim, Seung Lae (Department of Neurosurgery, College of Medicine, Kyungpook National University)
  • 황정현 (경북대학교 의과대학 신경외과학교실) ;
  • 성주경 (경북대학교 의과대학 신경외과학교실) ;
  • 황성규 (경북대학교 의과대학 신경외과학교실) ;
  • 함인석 (경북대학교 의과대학 신경외과학교실) ;
  • 박연묵 (경북대학교 의과대학 신경외과학교실) ;
  • 김승래 (경북대학교 의과대학 신경외과학교실)
  • Received : 1999.07.06
  • Accepted : 1999.08.10
  • Published : 2000.03.28
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Abstract

Hematomyelia is an extremely rare condition that cause severe neurological symptoms. We reported 4 cases of spontaneous hematomyelia, two cases of cavernous angioma and two cases of hematoma. In all patients, the clinical course was progressive ; motor and sensory abnormalities below the lesion and voiding difficulties were the common presenting symptom complex. The preoperative diagnosis was made by magnetic resonance imaging and the all patients underwent surgical exploration. Complete removal of hematoma was done in 3 patients and complete evacuation after aspiration of hematoma were performed in one patients. Neurological function did not worsen postoperatively in any patients. The early diagnosis with magnetic resonance imaging and immediate surgical treatment of the hematoma and the associated vascular malformation are considered to be the best way to halt the progression of the disease.

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