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종결 Case No. 505 2019-01-01~2019-01-31
출제자 : 박지은 Hit : 655
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Period 2019-01-01~2019-01-31
Diagnosis Teflon-induced Granuloma
Gender
  • M
  •  
  • F
Age 83
Clinical information 6년전에 Trigeminal neuralgia, 아래와 같은 소견으로 수술적 치료를 받은 후 최근 반복되는 어지럼증을 주소로 내원한 83세 여환이다. 진단은?
Discussion Teflon-induced Granuloma
1. Introduction
Teflon: surgical material used in microvascular decompression surgery
Presumed to be an inert material
Induce giant-cell reaction when it contacts with dura and tentorium
Cause of recurrent trigeminal neuralgia

2. Teflon granuloma: 1.1-7.3% after MVD
Clinical suspicion: development of new facial pain after MVD
Radiologic findings:
Contrast enhancement on T1-weighted imaging: active granulomatous lesion
Blooming: Teflon itself, calcification or blood degradation product
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