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Spinal Extradural Meningioma: A Case Report and Review of the Literature

척수 경막외 뇌수막종: 증례 보고와 문헌고찰

  • Hong, Wonju (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Eun Soo (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Yul (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Kwanseop (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Koh, Sung Hye (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Song, Hwayoung (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kwon, Mi Jung (Department of Pathology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine)
  • 홍원주 (한림대학교 의과대학 한림대학교성심병원 영상의학과) ;
  • 김은수 (한림대학교 의과대학 한림대학교성심병원 영상의학과) ;
  • 이열 (한림대학교 의과대학 한림대학교성심병원 영상의학과) ;
  • 이관섭 (한림대학교 의과대학 한림대학교성심병원 영상의학과) ;
  • 고성혜 (한림대학교 의과대학 한림대학교성심병원 영상의학과) ;
  • 송화영 (한림대학교 의과대학 한림대학교성심병원 영상의학과) ;
  • 권미정 (한림대학교 의과대학 한림대학교성심병원 병리과)
  • Received : 2017.09.05
  • Accepted : 2017.12.23
  • Published : 2018.07.01

Abstract

Spinal meningiomas account for 12% of all the meningiomas and are usually located in the intradural extramedullary space. In some cases, they are associated with some extradural extensions. However, purely extradural spinal meningiomas are rare. Additionally, it is difficult to make an accurate preoperative diagnosis. We report a case of pathologically confirmed atypical meningioma, presented as a posterior epidural mass on the thoracic spine. We review the case, clinical symptoms, radiologic findings and the histologic features.

척수 수막종은 전체 수막종의 12% 정도를 차지하며 주로 경막내 수외 공간에 위치한다. 어떤 경우에는 경막 외로 연장되기도 한다. 그러나 온전하게 경막외에 위치한 수막종은 드물며, 수술 전 정확한 진단을 내리기 어려운 경우가 있다. 우리는 흉추의 후방 경막외 종양으로 나타난, 병리학적으로 확진된 비정형 수막종 증례를 보고하고 그 임상적 증상과 영상학적 소견, 조직학적 특징에 대해 고찰하고자 한다.

Keywords

References

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