Pleural Malignant Mesothelioma Causing Cord Infiltration Through the Nerve Root : Case Report
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概要
- 論文の詳細を見る
A 61-year-old man presented with a rare pleural malignant mesothelioma of the spine manifesting as progressive weakness of the bilateral lower extremities, numbness in the body and both legs, and dysfunction of the bladder and bowel. He had previous occupational exposure to asbestos while working at a car repair shop and had undergone right panpleuropneumonectomy under a diagnosis of sarcomatous type mesothelioma in the right pleural space. Magnetic resonance imaging of the spine with gadolinium showed an enhanced intramedullary tumor at the T4 level. Operative findings disclosed the clouded and swollen right posterior nerve root, and the pial surface was covered by clouded arachnoid-like membrane. The removed part of the T4 posterior nerve root and intramedullary tumor revealed malignant mesothelioma with invasion spreading along the posterior nerve root. He died of respiratory failure 3 months after the diagnosis. This case shows that spinal metastasis must be considered if a patient with pleural malignant mesothelioma shows neurological worsening and neuroimaging shows an abnormal lesion in the thoracic spinal cord. However, the patient’s neurological condition is very difficult to improve in the presence of spinal cord infiltration.
- 社団法人 日本脳神経外科学会の論文
- 2009-04-15
著者
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TSUTSUMI Satoshi
Department of Neurological Surgery, Juntendo University Urayasu Hospital
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YASUMOTO Yukimasa
Department of Neurological Surgery, Juntendo University Urayasu Hospital
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ITO Masanori
Department of Neurological Surgery, Juntendo University Urayasu Hospital
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ABE Yusuke
Department of Neurological Surgery, Juntendo University Urayasu Hospital
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Abe Yusuke
Department Of Neurosurgery Juntendo Urayasu Hospital
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Suga Yasuo
Department Of Neurosurgery Juntendo Urayasu Hospital
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Ito Masanori
Department Of Neurosurgery Juntendo Urayasu Hospital
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Ito Masanori
Department Of Medicine And Molecular Science Hiroshima University Graduate School Of Biomedical Scie
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SHIOMI Kazu
Department of General Thoracic Surgery, Respiratory Medicine, Juntendo University, School of Medicin
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IZUMI HIROSHI
Department of Pathology I, Juntendo University School of Medicine
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AKIYAMA Osamu
Department of Respiratory, Medicine, Japanese Red Cross Medical Center
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OKURA Hidehiro
Department of Neurosurgery, Juntendo Urayasu Hospital
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KUDO Kentaro
Department of Neurosurgery, Juntendo Urayasu Hospital
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Tsutsumi Satoshi
Department Of Neurosurgery Juntendo Urayasu Hospital
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Yasumoto Yukimasa
Department Of Neurosurgery Juntendo Urayasu Hospital
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Shiomi Kazu
Department Of General Thoracic Surgery Respiratory Medicine Juntendo University School Of Medicine
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Shiomi Kazu
Department Of Human Pathology Juntendo University School Of Medicine
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Kudo Kentaro
Department Of Neurosurgery Juntendo Urayasu Hospital
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Akiyama Osamu
Department Of Allergy And Rheumatology Japanese Red Cross Medical Center
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Akiyama Osamu
Department Of Neurosurgery Juntendo Urayasu Hospital
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Okura Hidehiro
Department Of Neurosurgery Juntendo Urayasu Hospital
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Izumi Hiroshi
Department Of Oral Physiology School Of Dentistry Health Sciences University Of Hokkaido
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Yasumoto Yukimasa
Department Of Neurological Surgery Juntendo University Urayasu Hospital
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Tsutsumi Satoshi
Department Of Chemical Engineering Faculty Of Engineering Science Osaka University
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Suga Yasuo
Department Of Mechanical Engineering Faculty Of Science And Technology Keio University
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Abe Yusuke
Department Of Electrical Engineering And Computer Science Nagoya University
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Izumi Hiroshi
Department Of General Thoracic Surgery Juntendo Urayasu Hospital
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Izumi Hiroshi
Department Of Dermatology Kansai Medical University
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Ito Masanori
Department Of Materials Science And Chemistry University Of Hyogo
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Okura Hidehiro
Department Of Neurosurgery Juntendo University School Of Medicine
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Akiyama Osamu
Department of Allergy and Rheumatic Diseases, Japanese Red Cross Medical Center
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ABE Yusuke
Department of Biomedical Engineering, Graduate School of Medicine, The University of Tokyo
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