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KMID : 0359819750040010123
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Journal of Korean Neurosurgical Society
1975 Volume.4 No. 1 p.123 ~ p.128
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Vascular tumor of the spine
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전용문/Jun, Yong Moon
이정길/김대조/옥영철/이규웅/Rhee, Jung Kil/Kim, Dae Jo/Ok, Young Chul/Lee, Kyu Woong
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Abstract
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Although a vascular tumor of the spinal. cord is a fairly common lesion, and is often asymptomatic, it was recently found more frequently by contrast myelography and selective spinal angiography.
The first report on an angioma of the spinal cord was made by Hebold in 1885. Themay be classified as malformation .composed of masses of tortuous interlacing vessels. A benign vascular tumor of the spinal cord may occur at any level and within the structures of the spinal canal. The cord. involved directly by portions of the varix,foci of infarctioj of the involved cord may bee thrombosis of the vessels of thg angioma.
Vascular tumors of :tlie cord are difficult to treatment. An attempt can be made to reduce the size of the angioma by ligation or resection, but itis imperative that the blood supply to the spinal cord or nerve roots should not be injured. Roentgen therapy may be of value.
We have experienced in 3 patients with vascular tumor involving the spinal epidural space. They had paraparesis or paraplegia with sensory level, and urinary difficulity. Roentgenograms show perpendicular striations in the vertebral body owing to coarse trabeculations surrounding the dilated vascular spaces. Myelogram shows subarachnoid blockade in the epidural space by a tumor mass. Total laminectomy was performed, and the vascular tumor mass was removed, thereafter the neurological signs were some improved.
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