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KMID : 0352120150300010056
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Journal of Kyung Hee University
2015 Volume.30 No. 1 p.56 ~ p.60
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Paraganglioma of Filum Terminale Misdiagnosed as Complication of Combined Spinal-Epidural Anesthesia
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Jun Joo-Hyun
Lee Mi-Hyeon
Choi Eun-Mi
Kim Eun-Mi
Choi Young-Ryong
Lee Young-Sub
Lee Hyo-Keun
Chung Mi-Hwa
Park Sung-Wook
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Abstract
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Paragangliomas are neuroendocrine tumors that occur throughout the body, particularly the head and neck. But paragangliomas of the central nervous system are uncommon and usually arise from cauda equina, spinal nerve root and filum terminale. Spinal paragangliomas clinically present with pain and neurologic deficits. Because of these nonspecific symptoms, it is difficult to distinguish spinal paraganglioma from epidural hematomas. Magnetic resonance imaging (MRI) is currently the best modality demonstrating details of spinal paragangliomas, although it could not confirm the spinal paraganglioma. We report a case of paraganglioma occurred from filum terminale; A patient, who was presented neurologic symptom after cesarean section via combined spinal-epidural anesthesia, had suffered from mild back pain.
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KEYWORD
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Paraganglioma, Epidural hematoma, Combined spinal-epidural anesthesia, Filum terminale
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