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KMID : 0378019700130110126
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New Medical Journal
1970 Volume.13 No. 11 p.126 ~ p.130
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A Case of Intramedullary Abscess on the Conus Medullaris
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Abstract
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A case of intramedullary abscess on the conus medullaris was reported and the literature was reviewed.
This 25-year-old Korean male who suffered from paraparesis and urinary difficulty following back pain and spastic weakness in the lower limbs of 7 year´s duration, was admitted to the Catholic Medical Center on Dec. 18, 1969.
On admission, neurological examination revealed spastic paresis of the left leg, sensory loss below the Til level, urinary difficulty and positive ankle clonus & Babinski sign.
Plain X-ray of the spine showed widening of the interpedicular distance of the 1st and 2nd lumbar vertebrae with sclerotic change of the pedicle of the 1st lumbar vertebra on A-P view.
Pantopaque myelogram revealed round partial obstruction with expanding cord shadow at the lower border of the 1st lumbar vertebra.
Total laminectomy extending from T12 to L3 was performed and a dorsal median incision into conus medullaris was made and evacuated caseous necrotic discharge 30cc in amount so conus medullaris was seen to be surrounded with thin external membrane as if it is hollow tubular appearance.
Following operation, neurological deficits did not improved.
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