• Title/Summary/Keyword: Extramedullary

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Sporadic Intradural Extramedullary Hemangioblastoma Not Associated with von Hippel-Lindau Syndrome: A Case Report and Literature Review (폰 히펠린다우 증후군과 관련 없는 특발성 경막 내 수외 혈관모세포종: 증례 보고와 문헌 고찰)

  • Mi-Kyung Um;Eugene Lee;Joon Woo Lee;Kyu Sang Lee;Yusuhn Kang;Joong Mo Ahn;Heung Sik Kang
    • Journal of the Korean Society of Radiology
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    • v.82 no.3
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    • pp.700-707
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    • 2021
  • Hemangioblastomas are low-grade, highly vascular tumors that are usually associated with von Hippel-Lindau syndrome. Hemangioblastomas most commonly occur in the cerebellum, and intradural extramedullary hemangioblastoma of the cauda equina is very rare, especially in patients without von Hippel-Lindau syndrome. Herein, we report a case of intradural extramedullary hemangioblastoma of the cauda equina that was not associated with von Hippel-Lindau syndrome, with a focus on its imaging characteristics and differential diagnoses. We compared the clinical presentation and imaging features of our case with those of previously reported cases in the review of the literature.

Solitary Cervical Neurenteric Cyst in an Adolescent Patient

  • Choi, Doo Yong;Lee, Ho Jin;Shin, Myung Hoon;Kim, Jong Tae
    • Journal of Korean Neurosurgical Society
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    • v.57 no.2
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    • pp.135-139
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    • 2015
  • Spinal neurenteric cysts are uncommon congenital lesions, furthermore solitary neurenteric cysts of the upper cervical spine are very rare. A 15-year-old boy having an intraspinal neurenteric cyst located at cervical spine presented with symptoms of neck pain and both shoulders pain for 2 months. Cervical spine magnetic resonance (MR) imaging demonstrated an intradural extramedullary cystic mass at the C1-3 level without enhancement after gadolinium injection. There was no associated malformation on the MR imaging, computed tomography, and radiography. Hemilaminectomy at the C1-3 levels was performed and the lesion was completely removed through a posterior approach. Histological examination showed the cystic wall lined with ciliated pseudostratified columnar epithelium containing mucinous contents. Neurenteric cyst should be considered in the diagnosis of spinal solitary cystic mass.

Spinal Schwannoma; Analysis of 40 Cases

  • Jeon, Jee-Ho;Hwang, Hyung-Sik;Jeong, Je-Hoon;Park, Se-Hyuk;Moon, Jae-Gon;Kim, Chang-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.43 no.3
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    • pp.135-138
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    • 2008
  • Objective: This study is to report our experience of 40 cases of spinal schwannoma. Methods: From 1995 to 2006, medical records were retrospectively reviewed in 40 cases of spinal schwannoma. Results: We treated 40 spinal schwannomas in 38 (22 male and 16 female) patients. The mean age was 50.2. Four cases were sited in the cervical spine, 11 cases in the thoracic spine, and 25 cases in the lumbar spine. Two patients showed recurrences. Thirty-eight cases were intradural-extramedullary type and 2 cases were extradural. Two cases (5%) including 1 recurred case had no postoperative motor improvement. Ninety-five percents of patients improved on postoperative motor grade. Conclusion: Spinal schwannoma is mostly benign and extramedullary tumor. There were 2 recurred cases (5%) that had history of previous subtotal removal at first operation and had shown worse prognosis compared with the cases without recurrence. To reduce the recurrence of spinal schannoma, total excision of tumor mass should be done.

A Case of Multiple Pulmonary Plasmacytomas after Complete Remission of Multiple Myeloma (다발성 골수종의 관해 후 발생한 다발성 폐 형질 세포종 1예)

  • Sung, Pil-Soo;Song, Joon-Ho;Park, Chong-Won
    • Tuberculosis and Respiratory Diseases
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    • v.69 no.2
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    • pp.129-133
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    • 2010
  • Extramedullary plasmacytoma (EMP) is a rare disorder that typically occurs in the upper airway. Although the condition rarely arises in the lungs, a few cases have been reported. Here, we report a case of pulmonary plasmacytoma in 66-year-old man, who had been treated with VAD (vincrestine, adriamycin, dexamethasone) chemotherapy for multiple myeloma. The patient had been declared clear of multiple myeloma after 4 cycles of chemotherapy. Three months later, the patient had multiple masses visible on computed tomography (CT) and on positron emission tomography-computed tomography (PET-CT) with hot uptake. Subsequent studies using CT-guided needle biopsy and immunohistochemical stain showed pulmonary plasmacytoma. Bone marrow biopsy, serum, and urine M protein tests were repeated, showing no evidence of multiple myeloma. Pulmonary plasmacytomas, as extramedullary plasmacytomas, were considered an isolated manifestation of multiple myeloma recurrence. We treated the patient with concurrent chemoradiotherapy and the pulmonary plasmacytomas regressed dramatically.

Cavernous Hemangioma of the Cauda Equina - A Case Report - (마미총에 발생한 해면상 혈관종 - 증례보고 -)

  • Kim, Keun Su;Ahn, Byeong Jo;Han, Dong Han
    • Journal of Korean Neurosurgical Society
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    • v.30 no.5
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    • pp.662-665
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    • 2001
  • Spinal cavernous hemangiomas of the cauda equina are extremely rare vascular malformations. We report a case of intradural extramedullary cavernous hemangioma of the cauda equina with it's clinical, radiologic and surgical findings. This is the twelveth case of cavernous hemangioma of the cauda equina in the literature. The pertinent literatures are reviewed.

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An Unusual Cervical Spinal Meningioma in a Child

  • Cho, Hyok-Rae;Lee, Jong-Koo;Paik, Ae-Lan;Jang, Woo-Young
    • Journal of Korean Neurosurgical Society
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    • v.53 no.2
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    • pp.129-131
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    • 2013
  • The incidence of spinal meningioma is very rare in children. A 14-year-old girl presented with right arm weakness, gait disturbance, and urinary incontinence. Cervical magnetic resonance imaging revealed an intradural extramedullary tumor dorsal to the spinal cord in the level of C1. The tumor was totally removed despite the severe cord compression. Meningotheliomatous meningioma was diagnosed after histological examination.

A Case of Neurocysticercosis in Entire Spinal Level

  • Lim, Byung-Chan;Lee, Rae-Seop;Lim, Jun-Seop;Cha, Kyu-Yong
    • Journal of Korean Neurosurgical Society
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    • v.48 no.4
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    • pp.371-374
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    • 2010
  • Cysticercosis is the most common parasitic infection affecting the central nervous system. Spinal neurocysticercosis (NCC) is very rare compared with intracranial NCC arid requires more aggressive management because these lesions are poorly tolerated. The authors report a case of intradural extramedullary cysticercosis of the entire level of spine with review of the literature.

A Case of Intracranial Involvement in Plasma Cell Myeloma (두개 내를 침범한 형질세포골수종 1예)

  • Lee, Su-Hyun;Chung, Yoon-Yung;Lim, Ye-Jee;Ko, Sun-Young;Choi, Yoo-A;Kim, Young-Woon;Lee, Sung-Eun;Park, Chong-Won
    • Journal of Yeungnam Medical Science
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    • v.29 no.1
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    • pp.42-44
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    • 2012
  • Plasma cell myelomas generally manifest as bone or soft-tissue tumors with variable mass effects, pain, and infiltrative behavior. Extramedullary involvement occurs most commonly in the spleen, liver, lymph nodes, and kidneys, but intracranial involvement in plasma cell myeloma is a rare extramedullary manifestation. These authors recently encountered a case of intracranial involvement of plasma cell myeloma. A 69-year-old man was hospitalized for headache and mental changes. Brain CT showed subdural hemorrhage caused by plasma cell myeloma. Plasma cell myeloma with intracranial involvement has poor prognosis, and the patient in this case died from acute complications, such as subdural hemorrhage. Based on this case report, it is suggested that more effective treatment regimens of plasma cell myeloma with intracranial involvement be developed. Moreover, a screening method and decision on the appropriate time for intracranial involvement are needed for plasma cell myeloma patients.

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