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題 名 | Multiple Spinal Meningiomas--A Case Report=多發性脊椎髓膜瘤--病例報告 |
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作 者 | 李昆興; 鄭子文; 劉安祥; 洪純隆; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 15:3 1999.03[民88.03] |
頁 次 | 頁182-186 |
分類號 | 416.292 |
關鍵詞 | 多發性脊椎髓膜瘤; Multiple spinal meningiomas; Von recklinghausen's disease; Magnetic resonance imaging; |
語 文 | 英文(English) |
中文摘要 | 多發性脊椎髓膜瘤是相當罕見的,約佔所有脊椎髓膜瘤的百分之二至三點五。本文報告一 77 歲女性病人,患有胸脊椎的多發性髓膜瘤。其症狀是四個月之久的漸進性下肢無力及感覺異常。神經學檢查是下肢輕癱、感覺遲鈍、第十胸椎皮節以下痛覺減退。入院後開刀之前有尿失禁及大便失禁。核磁共振掃描發現兩顆硬髓膜內脊髓外的腫瘤,分別在第九及第十二胸椎處。兩顆腫瘤均完全摘除。組織病理學檢查是砂樣瘤的髓膜瘤。此位病人並沒有 von Recklinghausen 病的表徵。核磁共振掃描對於偵測脊椎髓膜腫瘤是良好的診斷工具,尤其是多發性脊椎髓膜瘤;影像學上顯示不同的強度,意謂著腦膜瘤內含有不同的成份。術後三個月追蹤,病人可自行良好走路。 |
英文摘要 | Multiple spinal meningiomas are relatively rare and account for only 2 to 3.5% of all spinal meningiomas. A case of multiple meningiomas of the thoracic (T) spine was reported. This 77-year-old women was admitted with progressive motor weakness and sensation disturbance in both legs for 4 months. Neurological findings on admission revealed paraparesis, hyperesthesia, and hypalgesia below the dermatome of T10 level and hyporeflexia of both ankles. Urinary and stool incontinence were also noted. Magnetic resonance imaging (MRI) documented two intradural extramedullary lesions with different intensity at the T9 and T12 levels. Both tumors were totally resected. Histopathologic examination showed all psammomatous meningiomas with more or less psammoma bodies. There were no any manifestations of von Recklinghausen's disease in this patient. MRI is a choice of diagnostic tool to detect spinal tumors, especially multiple spinal meningiomas. Different intensities in MRI may infer different components of meningiomas. Follow-up study after operation three months later disclosed she could walk very well. |
本系統中英文摘要資訊取自各篇刊載內容。