:+: 대한임상통증학회 :+:

20(01) 39-42

https://doi.org/10.35827/cp.2021.20.1.39

방사성 증상이 초기 증상으로 나타난 비정형 맥락막 신경총 유두종

이철재¹ㆍ김준형¹ㆍ김윤희¹ㆍ이장보²ㆍ류병주¹

삼육서울병원 재활의학과¹, 고려대학교 의과대학 신경외과학교실²

J Korean Assoc Pain Med 2021 Jun; 20(01) 39-42

An Atypical Choroid Plexus Papilloma Initially Manifestating as Radicular Symptoms

Cheol-Jae Lee, M.D.¹, Jun-Hyung Kim, M.D.¹, Yunhee Kim, M.D.¹, Jang-Bo Lee, M.D., Ph.D.² and Byungju Ryu, M.D.¹

¹Department of Physical Medicine and Rehabilitation, Sahmyook Medical Center, ²Department of Neurosurgery, Korea University College of Medicine, Seoul, Korea

A 29-year-old woman had 1-month history of back pain radiating into lower extremities, motor weakness, and sensory abnormalities in both lower extremities. Contrast-enhanced spinal magnetic resonance imaging (MRI) revealed a homogeneously enhancing mass at the T12∼L1 and several intradural enhancing nodular lesions at L2∼S1. Tumor resection surgery was performed and following histological examination showed that the tumor satisfied the diagnostic criteria for atypical choroid plexus papilloma (CPP). To find primary tumor sites, contrast-enhanced brain MRI, whole spine MRI, and PET-CT were carried out and additional lesions were detected at the fourth ventricle, right cerebellum, and upper thoracic spinal cord. This is a very rare case of metastatic atypical CPP that involves brain, upper thoracic spinal cord, and cauda equina with initial manifestation of radicular symptoms without clinical signs of primary brain lesion.

J Korean Assoc Pain Med 2021 Jun; 20(01) 39-42

Keyword : Choroid plexus papilloma, Back pain, Spinal cord injury