一例伴有长期截瘫病史的广泛髓内表皮样囊肿：病例报告

An extensive intramedullary epidermoid cyst with a longstanding history of paraplegia: a case report.

作者信息

Yoon Sang Hoon, Jahng Tae-Ahn, Kim Ki-jeong, Chung Chun Kee, Kim Hyun Jib

机构信息

Department of Neurosurgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea.

Department of Neurosurgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.

出版信息

J Neurol Surg A Cent Eur Neurosurg. 2013 Dec;74 Suppl 1:e1-3. doi: 10.1055/s-0032-1304221. Epub 2012 Jul 9.

DOI:10.1055/s-0032-1304221

PMID:22777928

Abstract

Spinal cord tumors still challenge clinicians because of their neurological deterioration before and after surgery. Epidermoid cyst is one of the rare intramedullary lesions producing neurological deterioration in cervical spine and it has been reported four times in the literature. We report the case of an intramedullary epidermoid cyst showing a longstanding history of paraplegia as well as recent slowly progressive tingling paresthesia extending from C4 to T10 and weakness in both hands.

摘要

脊髓肿瘤因其手术前后的神经功能恶化，仍然给临床医生带来挑战。表皮样囊肿是罕见的可导致颈椎神经功能恶化的髓内病变之一，文献中已有四次报道。我们报告一例髓内表皮样囊肿病例，该患者有长期截瘫病史，近期出现从C4至T10的缓慢进展性刺痛感觉异常以及双手无力。