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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 214 - 220 (7page)
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We encountered a very rare case of spontaneous spinal cerebrospinal fluid (CSF) leakage and a spinal intradural arachnoid cyst (AC) that were diagnosed at different sites in the same patient. These two lesions were thought to have interfered with the disease onset and deterioration. A 30-year-old man presented with sudden neck pain and orthostatic headache. Diplopia, ophthalmic pain, and headache deteriorated. CSF leakage was confirmed in C2 by radioisotope cisternography, and an epidural blood patch was performed. While his symptoms improved gradually, paraparesis suddenly progressed. Thoracolumbar magnetic resonance imaging (MRI) revealed an upper thoracic spinal intradural AC, which was compressing the spinal cord. We removed the outer membrane of the AC and performed fenestration of the inner membrane after T3-4 laminectomy. Postoperative MRI showed complete removal of the AC and normalized lumbar subarachnoid space. All neurological deficits including motor weakness, sensory impairment, and voiding function improved to normal. We present a case of spontaneous spinal CSF leakage and consecutive intracranial hypotension in a patient with a spinal AC. Our report suggests that if spinal CSF leakage and a spinal AC are diagnosed in one patient, even if they are located at different sites, they may affect disease progression and aggravation.
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참고문헌 (14)
참고문헌 신청
Bond AE / 2012 / Spinal arachnoid cysts in the pediatric population : report of 31 cases and a review of the literature / J Neurosurg Pediatr 9:432~441
Chan SM / 2019 / Intracranial hypotension and cerebrospinal fluid leak / Neuroimaging Clin N Am 29:213~226
Ergun E / 2008 / Should we operate all extradural spinal arachnoid cysts? Report of a case / Turk Neurosurg 18:52~55
Eroglu U / 2019 / Surgical management of spinal arachnoid cysts in adults / World Neurosurg 122:e1146~e1152
Ferrante E / 2019 / Spontaneous intracranial hypotension: review and expert opinion / Acta Neurol Belg. Forthcoming
Chan SM / 2019 / Intracranial hypotension and cerebrospinal fluid leak / Neuroimaging Clin N Am 29:213~226
Ergun E / 2008 / Should we operate all extradural spinal arachnoid cysts? Report of a case / Turk Neurosurg 18:52~55
Eroglu U / 2019 / Surgical management of spinal arachnoid cysts in adults / World Neurosurg 122:e1146~e1152
Ferrante E / 2019 / Spontaneous intracranial hypotension: review and expert opinion / Acta Neurol Belg. Forthcoming
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