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胸段脊髓髓外硬膜内血管母细胞瘤：一例报告。

Intradural extramedullary hemangioblastoma of the thoracic cord: A case report.

作者信息

Kawanishi Masahiro, Tanaka Hidekazu, Itoh Yutaka, Yokoyama Kunio, Yamada Makoto, Sugie Akira, Miyake Akari

机构信息

Department of Neurosurgery, Takeda General Hospital, Kyoto, Japan.

Department of Neurology, Uji Takeda Hospital, Kyoto, Japan.

出版信息

Surg Neurol Int. 2021 Mar 30;12:126. doi: 10.25259/SNI_795_2020. eCollection 2021.

DOI:10.25259/SNI_795_2020
PMID:33880231
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8053451/
Abstract

BACKGROUND

Spinal hemangioblastomas account for 1-3% of all spinal cord tumors and are mostly intramedullary in location. Here, we report an intradural extramedullary hemangioblastoma of the thoracic spine, occurring in in a patient without von Hippel-Lindau disease.

CASE DESCRIPTION

A 58-year-old female had a 5-year history of progressive left lower extremity weakness. When the MR demonstrated an intradural/extramedullary lesion with a syrinx at the T2-3 level, she successfully underwent gross total tumor excision following which she neurologically improved.

CONCLUSION

Here, we report a rare case of an intradural/extramedullary thoracic hemangioblastoma successfully excised at the T 2-3 level in a patient without von Hippel-Lindau disease.

摘要

背景

脊髓血管母细胞瘤占所有脊髓肿瘤的1% - 3%，大多位于髓内。在此，我们报告一例胸椎硬脊膜内髓外血管母细胞瘤，发生于一名无冯·希佩尔 - 林道病的患者。

病例描述

一名58岁女性有5年进行性左下肢无力病史。当磁共振成像显示T2 - 3水平有一个伴有脊髓空洞的硬脊膜内/髓外病变时，她成功接受了肿瘤全切术，术后神经功能得到改善。

结论

在此，我们报告一例罕见的硬脊膜内/髓外胸椎血管母细胞瘤病例，该病例在一名无冯·希佩尔 - 林道病的患者中于T2 - 3水平成功切除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5035/8053451/6b3d111277e5/SNI-12-126-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5035/8053451/762d3dc7bd2f/SNI-12-126-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5035/8053451/6b3d111277e5/SNI-12-126-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5035/8053451/762d3dc7bd2f/SNI-12-126-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5035/8053451/6b3d111277e5/SNI-12-126-g002.jpg

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引用本文的文献

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本文引用的文献

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Relationship between Spinal Hemangioblastoma Location and Age.脊髓血管母细胞瘤位置与年龄的关系。
Asian Spine J. 2016 Apr;10(2):309-13. doi: 10.4184/asj.2016.10.2.309. Epub 2016 Apr 15.
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Intraspinal hemangioblastomas: analysis of 92 cases in a single institution: clinical article.椎管内血管母细胞瘤：单中心 92 例分析：临床文章。
J Neurosurg Spine. 2014 Aug;21(2):260-9. doi: 10.3171/2014.1.SPINE13866. Epub 2014 May 16.
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Differentiation of localization of spinal hemangioblastomas based on imaging and pathological findings.
基于影像学和病理学表现对脊髓血管母细胞瘤的定位分化。
Eur Spine J. 2011 Aug;20(8):1377-84. doi: 10.1007/s00586-011-1814-6. Epub 2011 Apr 29.
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A rare case of extramedullary-intradural hemangioblastoma in the thoracic spine.胸椎髓内-硬脊膜外血管母细胞瘤 1 例罕见病例。
Spine (Phila Pa 1976). 2009 Dec 15;34(26):E969-72. doi: 10.1097/BRS.0b013e3181b8e4f4.
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Intradural extramedullary hemangioblastoma differentiated by MR images in the cervical spine: a case report and review of the literature.颈椎硬脊膜内髓外血管母细胞瘤的磁共振成像鉴别诊断：1例报告并文献复习
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The microsurgical removal of intramedullary spinal hemangioblastomas. Report of twelve cases and a review of the literature.髓内脊髓血管母细胞瘤的显微手术切除。12例报告及文献复习。
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