대후두공 주변에 발생한 경막내 축외 해면상 혈관종

• 영문명: An Intradural and Extra-axial Cavernous Hemangioma on Foramen Magnum
• 발행기관: 대한두개저학회
• 저자명: 김승민(Seong-Min Kim) 정승영(Seung-Young Chung) 정성삼(Sung-Sam Jung) 박문선(Moon-Sun Park)
• 간행물 정보: 『대한두개저학회지』제1권 제2호, 94~97쪽, 전체 4쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2006.12.30

영문 초록

Intraparenchymal cavernous hemangioma(CH) of central nervous system(CNS) was already well known to us, but the intradural and extra-axial CH was not and very rare. This case summarizes our surgical experience intradural-extramedullary CH on foramen magnum. A 44-year-old man complained occipital headache. Magnetic resonance imaging(MRI) showed a 15mm sized well enhancing mass that slightly displaced the medulla to the right side. An angiogram showed tumor staining with feeding artery from left posterior cerebellar artery(PICA). Our diagnosis with imaging studies was extra-axial tumor including meningioma, hemangiopericytoma. A suboccipital craniectomy and C1 laminectomy were performed. An encapsulated, highly vasculized mass was visualized and removed. Mass was purely extra-axial and pathological evaluation demonstrated a CH. So this case of CH reminds the neurosurgical community to consider CH in the differential diagnosis for extra-axial mass on foramen magnum.

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키워드

Cavernous hemangioma Cavernous malformation Extra-axial Foramen magnum