마미 증후군의 임상 양상을 보인 환자에서 발견된 흉추 수막종 1예
A Case of Thoracic Spinal Meningioma Presenting as Cauda Equina Syndrome
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The objective of this study was to report a patient with thoracic meningioma who had an unusual presentation of cauda equina syndrome. A 75-year-old woman had suffered from diabetes mellitus type 2 and stroke last year. Two months ago, she had begun to experience weakness together with altered sensitivity in the both leg. Nerve conduction studies revealed abnormalities in motor and sensory nerves of lower extremities. Needle electromyography showed abnormal spontaneous activities in the paraspinal muscles at T10-T12, L1-S1 and in some examined muscles of both lower extremities. Most muscles below L4 level revealed abnormal motor unit action potential. Magnetic resonance imaging of thoracic spine demonstrated spinal meningioma at T1 levels. During the post-surgical period, the incomplete paraplegia regressed. In case of slowly-developing paresis of the legs in polyneuropathy should not be diagnosed without careful consideration and rare spinal tumors should be considered as a part of the differential diagnosis.
Abstract
The objective of this study was to report a patient with thoracic meningioma who had an unusual presentation of cauda equina syndrome. A 75-year-old woman had suffered from diabetes mellitus type 2 and stroke last year. Two months ago, she had begun to experience weakness together with altered sensitivity in the both leg. Nerve conduction studies revealed abnormalities in motor and sensory nerves of lower extremities. Needle electromyography showed abnormal spontaneous activities in the paraspinal muscles at T10-T12, L1-S1 and in some examined muscles of both lower extremities. Most muscles below L4 level revealed abnormal motor unit action potential. Magnetic resonance imaging of thoracic spine demonstrated spinal meningioma at T1 levels. During the post-surgical period, the incomplete paraplegia regressed. In case of slowly-developing paresis of the legs in polyneuropathy should not be diagnosed without careful consideration and rare spinal tumors should be considered as a part of the differential diagnosis.
참고문헌 (9)
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