후관절 낭종과 동반된 흉추 경막하 혈종에 의한 원추 증후군

• Published in: The journal of the Korean Orthopaedic Association Vol. 58; no. 3; pp. 273 - 278
• Main Authors: 김유미(Yu Mi Kim), 오성균(Sung Kyun Oh), 강한빛(Han Vit Kang), 문영관(Young Kwan Moon)
• Format: Journal Article
• Language: Korean
• Published: 대한정형외과학회 01.06.2023
• Subjects: 정형외과학; 척추; 경막하; conus medullaris syndrome; spinal; 척수원추증후군; 후관절; 혈종; zygapophyseal joint; hematoma; subdural
• ISSN: 1226-2102; 2005-8918
• DOI: 10.4055/jkoa.2023.58.3.273

척추 경막하 혈종은 매우 드문 질환으로, 중대한 신경학적 장애로의 이환율과 치명률이 높다. 저자들은 외상과 출혈 소인 없이 갑자기 발생한 요통과 대소변 장애를 주소로 내원한 환자에서 시행한 검사상 제12 흉추 후관절 낭종과 동반된 경막외 혈종으로 오진하였으나 수술 중 경막하 혈종으로 확진된 환자를 성공적으로 치료하였기에 경막외 혈종과의 감별 점과 영상 소견에 대해서 보고하고자 한다 Spinal subdural hematoma is a rare disease with high morbidity to significant neurological disorders and a high mortality rate. This paper reports a case of subdural hematoma in a patient who visited the clinic with sudden lumbar back pain, and urinary and fecal dysfunction, without trauma and bleeding tendency. The patient was at first misdiagnosed as a T12 epidural hematoma accompanied by a facet cyst. However, the patient was finally confirmed as having a subdural hematoma during surgery and was treated successfully. The objective of this case report was to demonstrate the image findings of this case and highlight the difference between an epidural hematoma and a subdural hematoma. KCI Citation Count: 0