Investigative Magnetic Resonance Imaging

Korean Society of Magnetic Resonance in Medicine (대한자기공명의과학회)
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Thoracic Intramedullary Schwannoma Aggravated on Follow-up MRI: Case Report and Review of the Literature

추적 자기공명영상에서 악화된 흉추 척수내 신경집종: 증례보고 및 문헌고찰

  • Lee, So-Yeon (Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea) ;
  • Jee, Won-Hee (Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea) ;
  • Kim, Sun-Ki (Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea) ;
  • Jung, Chan-Kwon (Department of Pathology, Seoul St. Mary's Hospital, The Catholic University of Korea) ;
  • Park, Chun-Kun (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea)
  • 이소연 (가톨릭대학교 서울성모병원 영상의학과) ;
  • 지원희 (가톨릭대학교 서울성모병원 영상의학과) ;
  • 김선기 (가톨릭대학교 서울성모병원 영상의학과) ;
  • 정찬권 (가톨릭대학교 서울성모병원 병리과) ;
  • 박춘근 (가톨릭대학교 서울성모병원 신경외과)
  • Published : 2009.12.30
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Abstract

Schwannoma is a rare intramedullary tumor. There has been no reported case about interval aggravation on follow-up MR imaging. We report initial and follow-up MR findings of a thoracic intramedullary schwannoma with syringomyelia and edema in a patient without neurofibromatosis. Intramedullary schwannoma should be included for differential diagnosis of intramedullary tumor even though followup MR imaging shows interval increase in size of the tumor and extent of associated edema to mimic malignancy.

척수내 신경집종은 드문 척수내 종양으로 추적 자기공명영상 소견에서 악화된 증례는 보고된 바가 없다. 우리는 신경섬유종이 없는 환자에서 생긴 흉추 척수내 신경집종의 초기 영상소견과 추적 자기공명영상을 보고하고자 한다. 추적 자기공명영상에서 척수내 종양의 크기가 커지고, 동반된 부종의 범위가 증가하여 악성처럼 보여도, 척수내 종양의 감별진단에 척수내 신경집종을 반드시 포함하여야 하겠다.

Keywords

References

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