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颈椎硬膜内髓外神经鞘瘤内急性出血伴四肢瘫。

Acute hemorrhage within intradural extramedullary schwannoma in cervical spine presenting with quadriparesis.

作者信息

Sahoo Ranjan Kumar, Das Pulin Bihari, Sarangi Gouri Sankar, Mohanty Sureswar

机构信息

Department of Radiology, Institute of Medical Science and SUM Hospital, Ghatikia, Bhubaneswar, Odisha, India.

Department of Orthopedic, Institute of Medical Science and SUM Hospital, Ghatikia, Bhubaneswar, Odisha, India.

出版信息

J Craniovertebr Junction Spine. 2015 Apr-Jun;6(2):83-5. doi: 10.4103/0974-8237.156069.

Abstract

Schwannoma with acute hemorrhage is rarely seen. A 44-years-old male patient presented with complaint of neck pain and acute onset of quadriparesis. Magnetic resonance imaging (MRI) of his cervical spine revealed evidence of an intradural extramedullary tumor with intratumoral acute hemorrhage. He was operated in emergency and the mass was found to be schwannoma with acute hemorrhage. Post operatively the patient improved significantly. Though schwannomas show microscopic intratumoral hemorrhage and necrosis at times, schwannoma with acute hemorrhage resulting acute onset of neurological deficit is very uncommon.

摘要

伴有急性出血的神经鞘瘤罕见。一名44岁男性患者因颈部疼痛和急性四肢瘫前来就诊。其颈椎磁共振成像(MRI)显示硬脊膜内髓外肿瘤并有瘤内急性出血。他接受了急诊手术,发现肿块为伴有急性出血的神经鞘瘤。术后患者明显好转。虽然神经鞘瘤有时在显微镜下可见瘤内出血和坏死,但伴有急性出血并导致急性神经功能缺损的神经鞘瘤非常罕见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77ec/4426528/618a34a20aab/JCVJS-6-83-g001.jpg

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