| Period | 2019-01-01~2019-01-31 |
|---|---|
| Diagnosis | Teflon-induced Granuloma |
| Gender |
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| 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 |
| Correct answer |
Correct AnswerSemi-Correct Answer |