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Nörojenik Dambıl Şekilli Spinal Tümörü Taklit Eden Sekestre Lomber Disk Fragmanı

Year 2020, Volume: 3 Issue: 1, 24 - 26, 30.03.2020

Abstract

Manyetik rezonans görüntüleme (MRG) lomber disk herniasyonlarını spinal malignitelerden ayırmak için genellikle yeterlidir. Fıtıklaşmış disk sekestre fragman ya da fragmanlara sahipse bu ayrım mümkün olmayabilir. Çeşitli benign ve malign omurilik lezyonları MRG'de dambıl şeklinde bir görünüm gösterebilir ancak sekestre disk fragmanı için bildirilmiş bir yayın yoktur. Lomber MRG'sinde dambıl şekilli lezyonu ile schwannomu düşündüren ancak kesin tanısı lomber disk herniasyonu olan 49 yaşında bir erkek olguyu sunduk.

References

  • 1. Yang H, Liu H, Li Z, Zhang K, Wang J, Wang H et al. Low back pain associated with lumbar disc herniation: role of moderately degenerative disc and annulus fibrous tears. Int J Clin Exp Med. 2015;8(2):1634–1644.
  • 2. Yang X, Zhang Q, Wang L, Yu H, Jie G. Lumbar Disk Fragments Mimicking Spinal Tumor: A Report of One Illustrative Case and its Review of the Literature. J Trauma Treat. 2018;7(4):437.
  • 3. Isoda H, Takahashi M, Mochizuki T, Ramsey RG, Masui T, Takehara Y et al. MRI of dumbbell-shaped spinal tumors. J Comput Assist Tomogr. 1996 Jul-Aug;20(4):573-82.
  • 4. Ozawa H, Kokubun S, Aizawa T, Hoshikawa T, Kawahara C. Spinal dumbbell tumors: an analysis of a series of 118 cases. J Neurosurg Spine. 2007 Dec;7(6):587-93.
  • 5. Biasi PR, Mallmann AB, Crusius PS, Seibert CA, Crusius MU, Crusius CU et al. Sequestered lumbar disc herniation mimicking spinal tumor. Arq Bras Neurocir. 2013;32(4):268-70.
  • 6. Bakar B, Sumer MM, Cila A, Tekkok IH. An extreme lateral lumbar disc herniation mimicking L4 Schwannoma. Acta Neurol Belg. 2009;109(2):155-8.

Sequestered Lumbar Disc Fragment Mimicking Dumbbell-Shaped Spinal Tumor

Year 2020, Volume: 3 Issue: 1, 24 - 26, 30.03.2020

Abstract

Magnetic resonance imaging (MRI) is often sufficient to distinguish lumbar disc herniations from spinal malignancies. If the herniated disc has a sequestrated fragment/s, the distinction may not be possible. Various benign and malign spinal cord lesions may show dumbbell-shape appearance on MRI but there is no reported paper for sequestrated disc fragment. We present a 49-year-old male whose lumbar MRI resembling schwannoma with dumbbell-shaped lesion but the definitive diagnosis was sequestered lumbar disc herniation.

References

  • 1. Yang H, Liu H, Li Z, Zhang K, Wang J, Wang H et al. Low back pain associated with lumbar disc herniation: role of moderately degenerative disc and annulus fibrous tears. Int J Clin Exp Med. 2015;8(2):1634–1644.
  • 2. Yang X, Zhang Q, Wang L, Yu H, Jie G. Lumbar Disk Fragments Mimicking Spinal Tumor: A Report of One Illustrative Case and its Review of the Literature. J Trauma Treat. 2018;7(4):437.
  • 3. Isoda H, Takahashi M, Mochizuki T, Ramsey RG, Masui T, Takehara Y et al. MRI of dumbbell-shaped spinal tumors. J Comput Assist Tomogr. 1996 Jul-Aug;20(4):573-82.
  • 4. Ozawa H, Kokubun S, Aizawa T, Hoshikawa T, Kawahara C. Spinal dumbbell tumors: an analysis of a series of 118 cases. J Neurosurg Spine. 2007 Dec;7(6):587-93.
  • 5. Biasi PR, Mallmann AB, Crusius PS, Seibert CA, Crusius MU, Crusius CU et al. Sequestered lumbar disc herniation mimicking spinal tumor. Arq Bras Neurocir. 2013;32(4):268-70.
  • 6. Bakar B, Sumer MM, Cila A, Tekkok IH. An extreme lateral lumbar disc herniation mimicking L4 Schwannoma. Acta Neurol Belg. 2009;109(2):155-8.
There are 6 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Hakan Ak 0000-0001-6975-9822

Sevilay Vural 0000-0002-1722-7987

İhsan Canbek 0000-0001-7740-196X

Publication Date March 30, 2020
Published in Issue Year 2020 Volume: 3 Issue: 1

Cite

AMA Ak H, Vural S, Canbek İ. Sequestered Lumbar Disc Fragment Mimicking Dumbbell-Shaped Spinal Tumor. Anatolian J Emerg Med. March 2020;3(1):24-26.