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多中心性脊髓毛细胞型星形细胞瘤伴脊髓空洞症

Multicentric Spinal Pilocytic Astrocytoma Presenting with Syringomyelia.

作者信息

Alanazi Ahad A, Ra Young-Shin

机构信息

General Medicine, King Saud University, Riyadh, SAU.

Paediatric Neurosurgery, Asan Medical Center, Seoul, KOR.

出版信息

Cureus. 2021 Feb 15;13(2):e13353. doi: 10.7759/cureus.13353.

DOI:10.7759/cureus.13353
PMID:33747654
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7968706/
Abstract

Pilocytic spinal cord astrocytomas make up 21% of intramedullary tumors. Only 20% of those tumors are associated with syringomyelia. To our knowledge, this is the first report of an adult presenting with multiple spinal pilocytic astrocytomas associated with syringomyelia. We report a case of a 27-year-old woman who had neck and arm pain for months. She underwent cervical magnetic resonance imaging (MRI) that demonstrated a syrinx from C2 and extending to C6. A coronal view of the MRI showed multiple mural nodules. Total excision of multicentric nodules within a cyst was performed with an uneventful intraoperative and postoperative period and the patient was discharged home with moderate right-hand numbness.

摘要

毛细胞型脊髓星形细胞瘤占髓内肿瘤的21%。这些肿瘤中只有20%与脊髓空洞症相关。据我们所知，这是首例成年患者出现多发脊髓毛细胞型星形细胞瘤并伴有脊髓空洞症的报告。我们报告一例27岁女性，她颈部和手臂疼痛数月。她接受了颈椎磁共振成像（MRI）检查，结果显示脊髓空洞从C2延伸至C6。MRI冠状位视图显示多个壁结节。对囊肿内的多中心结节进行了全切，术中和术后过程顺利，患者出院时右手有中度麻木感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bc/7968706/92bc10524c2e/cureus-0013-00000013353-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bc/7968706/607216ab211a/cureus-0013-00000013353-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bc/7968706/c274e42b9555/cureus-0013-00000013353-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bc/7968706/5906d8ab92ce/cureus-0013-00000013353-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bc/7968706/10740e697785/cureus-0013-00000013353-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bc/7968706/92bc10524c2e/cureus-0013-00000013353-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bc/7968706/607216ab211a/cureus-0013-00000013353-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bc/7968706/c274e42b9555/cureus-0013-00000013353-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bc/7968706/5906d8ab92ce/cureus-0013-00000013353-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bc/7968706/10740e697785/cureus-0013-00000013353-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45bc/7968706/92bc10524c2e/cureus-0013-00000013353-i05.jpg

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