Öz
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.
Anahtar Kelimeler
Kaynakça
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
Öz
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.
Anahtar Kelimeler
Kaynakça
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Vaka Takdimi |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Mart 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 3 Sayı: 1 |
