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Journal of the Korean Child Neurology Society 2010;18(1):153-157.
Published online May 30, 2010.
A Case of Spinal Cord Cavernoma Mimicking Transverse Myelitis.
Young A Kim, Min Hee Jeong, Eun Hye Lee, Mi Sun Yum, Young Shin Ra, Tae Sung Ko
1Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Korea. tsko@amc.seoul.kr
2Department of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine, Korea.
Abstract
A 14-year-old girl presented with recurrent, progressive lower leg weakness and decrease in sensation. When the symptoms first appeared, she was misdiagnosed as transverse myelitis and was treated with methylprednisolone. Eleven months later, when she had the same symptoms, spine magnetic resonance images showed the characteristic findings of spinal cord cavernoma and she underwent surgical intervention. Spinal cord cavernomas are rare lesions. Because of their highly bleeding tendency, acute neurological deterioration occurs secondary to hemorrhage within the spinal cord. In order to prevent intramedullary hemorrhage and to halt the progressive neurological decline, surgical resection is recommended. We experienced a case of spinal cord cavernoma presenting with recurrent transverse myelitis clinically.
Key Words: Spinal cord cavernoma, Acute paraplegia, Transverse myelitis


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