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Spinal Hemangiopericytoma Which Needed Intraoperative Embolization due to Unexpected Bleeding
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  • Spinal Hemangiopericytoma Which Needed Intraoperative Embolization due to Unexpected Bleeding
  • Spinal Hemangiopericytoma Which Needed Intraoperative Embolization due to Unexpected Bleeding
저자명
Lee. Chang-Hyun,Kim. Ki-Jeong,Jahng. Tae-Ahn,Kim. Hyun-Jib
간행물명
Journal of Korean neurosurgical society
권/호정보
2013년|54권 3호|pp.253-256 (4 pages)
발행정보
대한신경외과학회
파일정보
정기간행물|ENG|
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Spinal intradural hemangiopericytoma is a very rare tumor and can be characterized by massive bleeding during surgeries, frequent recurrence, and metastasis. However, definite radiologic differential points of hemangiopericytoma are not known. We describe an unexpected hemangiopericytoma case with large bleeding and management of the tumor. A 21-year-old man visited complaining of progressive neck pain and tingling sensation in both hands. Magnetic resonance imaging of his spine revealed C1-2 ventral intradural mass. When the dura was opened, the intradural tumor was placed behind spinal accessary nerves. The tumor was partially exposed only after some accessary nerves had been cut. When internal debulking was performing, unexpected bleeding was noted and it was difficult to control because of narrow surgical field and hypervascularity. Intraoperative spinal angiography and embolization were performed. The tumor was completely removed after embolization. Pathological diagnosis was consistent with hemangiopericytoma. When surgeons meet a flesh-red tumor that bleeds unexpectedly during surgery, hemangiopericytoma may be considered. When feeder control is hard due to reciprocal location of spinal cord, the tumor, and feeders, intraoperative angiography and embolization may be a possible option.