Journal of Korean Neurosurgical Society

  • 제53권1호
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  • Pages.46-48
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  • 2013
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Chondrosarcoma Apoplexy in Thoracic Spine

  • Kim, Sang Woo (Department of Neurosurgery, College of Medicine, Yeungnam University) ;
  • Kim, Min Su (Department of Neurosurgery, College of Medicine, Yeungnam University) ;
  • Jung, Young Jin (Department of Neurosurgery, College of Medicine, Yeungnam University)
  • 투고 : 2012.06.21
  • 심사 : 2013.01.07
  • 발행 : 2013.01.28
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초록

Chondrosarcoma is a very uncommon malignant primary bone tumor, especially, it occurs extremely rare in the spine. A 52-year-old man was admitted to the emergency room with sudden paraplegia. Twelve hours prior to a paraplegic event, he visited an outpatient clinic with discomfort and tenderness around the medial border of the right scapular, and his neurologic status was absolutely intact. Magnetic resonance imaging showed a lobulated soft tissue mass from T3 to T5, which extended to the epidural space. Computed tomography scans showed soft tissue mass on the spinal posterior arch and osteolytic change of the adjacent bony structures. Emergent surgery was performed and the lesion was removed. Dark reddish blood and gel-like material were encountered around the dura and posterior arch during the operation. Multiple pulmonary nodules were found on a chest CT scan and a biopsy of one of them had been proven to be a metastasis of chondrosarcoma. The histologic examination showed dedifferentiated chondrosarcoma. The patient's neurologic deficit was improved slowly from ASIA A to ASIA D. Chondrosarcoma in the spine is extremely rare, even more with acute hemorrhage and sudden expansion into the epidural space. We named it chondrosarcoma apoplexy. We should consider the possibility of a hemorrhagic event when the patient's neurologic deficit worsens suddenly with spinal bone tumor.

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참고문헌

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피인용 문헌

  1. Surgical treatment of metastatic mesenchymal chondrosarcoma to the spine : A case report vol.99, pp.5, 2013, https://doi.org/10.1097/md.0000000000018643