Journal of Korean Neurosurgical Society

  • 제51권3호
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  • Pages.141-143
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  • 2012
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Intramedullary Spinal Cord Metastasis of Choriocarcinoma

  • Ko, Jun-Kyeung (Department of Neurosurgery, School of Medicine, Pusan National University) ;
  • Cha, Seung-Heon (Department of Neurosurgery, School of Medicine, Pusan National University) ;
  • Lee, Jung-Hwan (Department of Neurosurgery, Armed Forces Daejeon Hospital) ;
  • Choi, Chang-Hwa (Department of Neurosurgery, School of Medicine, Pusan National University)
  • 투고 : 2011.10.19
  • 심사 : 2012.03.15
  • 발행 : 2012.03.28
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초록

The authors describe a case of choriocarcinoma that metastasized to the cerebral cortex, vertebral body, and intramedullary spinal cord. A 21-year-old woman presented with sudden headache, vomiting and a visual field defect. Brain computed tomography and magnetic resonance examinations revealed an intracranial hemorrhage in the left temporo-parietal lobe and two enhancing nodules in the left temporal and right frontal lobe. After several days, the size of the hemorrhage increased, and a new hemorrhage was identified in the right frontal lobe. The hematoma and enhancing mass in the left temporo-parietal lobe were surgically removed. Choriocarcinoma was diagnosed after histological examination. At 6 days after the operation, her consciousness had worsened and she was in a state of stupor. The size of the hematoma in the right frontal lobe was enlarged. We performed an emergency operation to remove the hematoma and enhancing mass. Her mental status recovered slowly. Two months thereafter, she complained of paraplegia with sensory loss below the nipples. Whole spine magnetic resonance imaging revealed a well-enhancing mass in the thoracic intramedullary spinal cord and L2 vertebral body. Despite chemotherapy and radiotherapy, the patient died 13 months after the diagnosis.

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참고문헌

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피인용 문헌

  1. Metastatic choriocarcinoma to the lumbar spine: Case report and review of literature vol.5, pp.1, 2012, https://doi.org/10.4103/2152-7806.145205
  2. A case of choriocarcinoma with concurrent rare presentations: Spontaneous uterine rupture and extensive thoracic spine metastases vol.36, pp.5, 2016, https://doi.org/10.3109/01443615.2015.1127904
  3. Spontaneous renal hemorrhage secondary to choriocarcinoma in a man with congenital hypospadias and cryptorchidism: a case report and literature review vol.18, pp.None, 2012, https://doi.org/10.1186/s12885-018-4424-4
  4. Excellent Outcome in a Patient with Choriocarcinoma with Spinal Metastasis with Cord Compression vol.17, pp.3, 2012, https://doi.org/10.1007/s40944-019-0319-9