Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Intramedullary Hemangioblastoma of Cervicomedullary Junction with Diffuse Spinal Cord Enlargement and Cyst Formation - A Case Report -

척수팽대와 낭종을 동반한 척수-연수 연접부의 혈관아세포종 - 증례보고 -

  • Park, Sung-Jin (Department of Neurosurgery, Eul-Ji Medical College) ;
  • Jung, Ho (Department of Neurosurgery, Eul-Ji Medical College) ;
  • Lee, Sang-Keol (Department of Neurosurgery, Eul-Ji Medical College) ;
  • Park, Moon-Sun (Department of Neurosurgery, Eul-Ji Medical College) ;
  • Ha, Ho-Gyun (Department of Neurosurgery, Eul-Ji Medical College) ;
  • Yang, Ki-Hwa (Department of Pathology, Eul-Ji Medical College)
  • 박성진 (을지의과대학 신경외과학교실) ;
  • 정호 (을지의과대학 신경외과학교실) ;
  • 이상걸 (을지의과대학 신경외과학교실) ;
  • 박문선 (을지의과대학 신경외과학교실) ;
  • 하호균 (을지의과대학 신경외과학교실) ;
  • 양기화 (을지의과대학 병리학교실)
  • Received : 1999.08.14
  • Accepted : 2000.01.13
  • Published : 2000.06.28
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Abstract

Hemangioblastoma of the central nervous system rarely occurs in cervicomedullary junction. The unique pathologic features of the tumor involving midline structures are grossly solid in consistency and accompanying extensive spinal cord enlargement. A 63-year-old women presented with progressive right motor weakness and tingling sensation. The MR image showed a well enhancing mass having a cyst and diffuse cord enlargement in the cervicomedullary junction. A total surgical resection was performed and hemangioblastoma was histologicaly verified. Postoperative MR image showed the disappearance of cord enlargement. The right motor weakness was also improved. The authors report a rare case of hemangioblastoma in cervicomedullary junction and the pathophysiology of the spinal cord enlargement are discussed.

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