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종결 Case No. 632 2022-08-01~2022-08-31
출제자 : 황인평 Hit : 507
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Period 2022-08-01~2022-08-31
Diagnosis Subependymoma
Gender
  • M
  •  
  • F
Age 25
Clinical information F/25
C.C.: paresthesia & weakness of left L/E (3YA)
진단은?
Discussion Rare CNS tumor, much less frequent than intracranial subependymoma
Relatively slow-growing benign tumor, histologically to WHO grade I
50% clinically silent and only found incidentally at autopsy
location: intramedullary in the cervical or cervicothoracic region
age: middle and older age individuals

Imaging Findings
- eccentric location in spinal cord
- MR iso- to low on T1WI, and high SI on T2WI
- Poor gadolinium enhancement, but slight enhancement may be present.
- Rare intra-tumoral cysts and calcification
Swelling of spinal cord: extremely steep
--> large fusiform dilatation(subpial growth), resembling bamboo leaf on MRI (bamboo leaf sign)

Reference: J Korean Neurosurg Soc. 2018 Mar; 61(2): 233–242.
Case Rep Neurol Med. 2016;2016:9108641
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  • 이진영 동국대학교 일산병원

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