Significance of gadolinium-enhanced magnetic resonance imaging in differentiating spinal cord radiation myelopathy from tumor

Journal of Neurosurgery - Tập 77 Số 4 - Trang 628-631 - 1992
Toshihiro Yasui1, Hisatoshi Yagura, Masaki Komiyama, Yoshihiko Fu, Yasunori Nagata, Katsuhiko Tamura, V K Khosla, Akira Hakuba
1Department of Neurosurgery, Baba Memorial Hospital, Osaka, Japan

Tóm tắt

✓ A young woman with a fourth ventricular ependymoma underwent radiotherapy following tumor excision. Twenty months later she developed a progressive neurological deficit at the C-2 vertebral level. Gadolinium-enhanced magnetic resonance imaging, showed an intramedullary lesion at the C-2 level. Although radiation myelopathy was suspected, tumor recurrence could not be excluded. Re-exploration and histopathology both confirmed a diagnosis of radiation myelopathy. A retrospective review of the case indicated findings favoring radiation myelopathy. The pertinent literature is reviewed and the findings discussed.

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Thông tin xuất bản

Journal of Neurosurgery

Tập 77 Số 4

628-631

Thông tin tác giả