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Rehabilitation Practice and Science

Translated Title

第四胸椎脊髓膜瘤合併腰椎間盤凸出一病例報告

Abstract

Spinal meningioma is a well circumscribed benign tumor. It grows slowly and acounts for about 25% of primary spinal cord tumors. It occurs predominantly in women and in thoracic region. Sometimes, we mistook its early symptoms for another problems such as arthritis, arachnoiditis, peripheral nerve disease, or motor neuron disease etc. Fortunately, Patient with severe motor deficit less than two months may get satisfactory improvements after surgery. The recurrent rate of spinal meningioma is much lower than that of intracranial meningioma. We reported a case of spinal meningioma at T4 level. He was diagnosed initially as lumbar disc herniation and osteoar-thritis of knees. CT scan of L-spine revealed disc herni-ation at L3-4 and L5-S1 compressing nerve root of R't side. Motor deficit, sensory dysfunction and sphincter dysfunction developed gradually. He was wheelchair dependent 3 weeks before surgery; however, he still got rapid recovery and walked independently 3 months after surgery. Here, We discussed about the symptoms, signs, diagnosis, prognosis, and recurrent rate of spinal meningiomas.

Language

Traditional Chinese

First Page

71

Last Page

75

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