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摘要


副神經節瘤是一種起源於交感神經系統的良性腫瘤,而發生於馬尾的副神經節瘤則很罕見。其臨床症狀不具特異性,且磁共振影像不易和室管膜瘤或神經鞘瘤區分,病理切片對正確診斷副神經節瘤是必要的。本篇病例報告一脊髓終絲的副神經節瘤經手術切除腫瘤後治癒,並強調若磁共振影像在馬尾附近呈現含血管的腫瘤,必須將副神經節瘤列入鑑別診斷。

並列摘要


We present a case of paraganglioma of the filum terminale. The patient was a 45-year-old man, who suffered from low back pain while coughing for one month. MRI revealed a 2cm diameter intradural tumor at the level of L3. The patient received a lumbar laminectomy with total tumor removal. He recovered uneventfully after the operation. Pathological examination showed a picture of paraganglioma. A paraganglioma of the filum terminale is extremely rare. However, we should keep in mind this possibility when a highly vascular lesion is seen in the region.

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