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脊髓内病变酷似脊髓肿瘤:一例非肿瘤性脊髓内病变。

Intramedullary lumbar lesion mimicking spinal cord tumor: a case of non-neoplastic intramedullary spinal cord lesion.

机构信息

Department of Neurosurgery, Gülhane Military Medical Academy, Etlik, Ankara, Turkey.

出版信息

Eur Spine J. 2010 Jul;19 Suppl 2(Suppl 2):S169-73. doi: 10.1007/s00586-009-1264-6. Epub 2010 Jan 5.

DOI:10.1007/s00586-009-1264-6
PMID:20049487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2899622/
Abstract

Non-neoplastic intramedullary spinal lesion cases are rarely seen in the literature. We would like to present this case for differential diagnosis of intramedullary spinal tumors. The aim of this case report is to attract attention on the MRI findings with lack of contrast enhancement and long syrinx formation which differs these types of lesions from the intramedullary spinal tumors. Intraoperative, pathological and immunohistochemical findings of non-neoplastic intramedullary spinal lesion were discussed.

摘要

文献中很少见到非肿瘤性脊髓内病变病例。我们希望提出这个病例来进行脊髓内肿瘤的鉴别诊断。本病例报告的目的是引起人们对 MRI 表现的关注,即缺乏对比增强和长脊髓空洞形成,这些表现使这些病变与脊髓内肿瘤不同。讨论了非肿瘤性脊髓内病变的术中、病理和免疫组织化学表现。

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本文引用的文献

1
Cervical spinal meningioma mimicking intramedullary spinal tumor.酷似脊髓内肿瘤的颈段脊膜瘤。
Spine (Phila Pa 1976). 2009 Jan 1;34(1):E45-9. doi: 10.1097/BRS.0b013e318189fd20.
2
Nonenhancing tumors of the spinal cord.脊髓无强化肿瘤。
J Neurosurg Spine. 2007 Oct;7(4):403-7. doi: 10.3171/SPI-07/09/10/403.
3
Surgical management of long intramedullary spinal cord tumors.长节段脊髓髓内肿瘤的外科治疗
Childs Nerv Syst. 2008 Feb;24(2):219-23. doi: 10.1007/s00381-007-0405-7. Epub 2007 Jul 18.
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Neurosurgical management of intramedullary spinal cord tumors in children.儿童脊髓髓内肿瘤的神经外科治疗
Pediatr Neurosurg. 2007;43(3):222-35. doi: 10.1159/000098835.
5
Pathologic and epidemiologic findings of intramedullary spinal cord tumors.脊髓髓内肿瘤的病理学和流行病学研究结果
Neurosurg Clin N Am. 2006 Jan;17(1):7-11. doi: 10.1016/j.nec.2005.11.002.
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MRI features of intramedullary spinal cord ependymomas.脊髓内室管膜瘤的磁共振成像特征
J Neuroimaging. 2003 Oct;13(4):346-51.
7
Nonneoplastic intramedullary spinal cord lesions mimicking tumors.
Neurosurgery. 1999 Jun;44(6):1365-6.
8
Nonneoplastic intramedullary spinal cord lesions mimicking tumors.酷似肿瘤的非肿瘤性脊髓髓内病变。
Neurosurgery. 1998 Oct;43(4):788-94; discussion 794-5. doi: 10.1097/00006123-199810000-00034.
9
Surgical results of 100 intramedullary tumors in relation to accompanying syringomyelia.100例髓内肿瘤伴发脊髓空洞症的手术结果
Neurosurgery. 1994 Nov;35(5):865-73; discussion 873. doi: 10.1227/00006123-199411000-00010.
10
Radical resection of intramedullary spinal cord tumors in adults. Recent experience in 29 patients.成人脊髓髓内肿瘤的根治性切除术。29例患者的近期经验。
J Neurosurg. 1985 Oct;63(4):492-9. doi: 10.3171/jns.1985.63.4.0492.