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Journal of Korean Neurosurgical Society 2003;34(6): 581-583.
Multiple Spinal Tumors with Meningiomas and Schwannomas.
Jun Kyeung Ko, Wi Hyun Kim, Byung Kwan Choi, Chang Hwa Choi
Department of Neurosurgery, Busan National University, School of Medicine, Busan, Korea. chwachoi@hyowon.pusan.ac.kr
ABSTRACT
We report a case of suspicious neurofibromatosis associated with multiple spinal tumors with dual pathology. The patient was a 16-year-old girl who had developed progressive paraparesis for 6 months. She had cafe-au-lait spots and multiple subcutaneous nodule. Magnetic resonance(MR) imaging of the lumbar spine had shown dumbbell-shape spinal tumor at L1-2. The tumor had been removed successfully at the local hospital. But, she had got worse to paraplegia. Postoperative MR image of the whole spine had revealed multiple spinal tumors at T3-4, T6-7, C2-3, C7-T1. She underwent 3 additional operations to remove the compressive lesions. Histopathologic findings documented 3 schwannomas and 2 meningiomas. She improved dramatically and was discharged from the hospital. Subsequent MR images of the whole spine revealed numerous small spinal tumors around the spinal cord and cauda quina.
Key Words: Multiple spinal tumors; Meningioma; Schwannoma; Neurofibromatosis
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