TY - JOUR T1 - Sequestered Lumbar Disc Fragment Mimicking Dumbbell-Shaped Spinal Tumor TT - Nörojenik Dambıl Şekilli Spinal Tümörü Taklit Eden Sekestre Lomber Disk Fragmanı AU - Ak, Hakan AU - Vural, Sevilay AU - Canbek, İhsan PY - 2020 DA - March JF - Anatolian Journal of Emergency Medicine JO - Anatolian J Emerg Med PB - Türkiye Acil Tıp Derneği WT - DergiPark SN - 2651-4311 SP - 24 EP - 26 VL - 3 IS - 1 LA - en AB - 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. KW - Sequestered disc KW - dumbbell-shaped KW - schwannoma N2 - 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. CR - 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. CR - 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. CR - 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. CR - 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. CR - 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. CR - 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. UR - https://dergipark.org.tr/tr/pub/anatolianjem/issue//677552 L1 - https://dergipark.org.tr/tr/download/article-file/1069879 ER -