대한근골격영상의학회

Title : Case 667

Age / Sex : 57 / M Chief complaint : Rt. upper and lower extremity paresthesia (onset : 15 yrs) What is your diagnosis? Two weeks later, you can see the final diagonosis with a brief discussion of this case (Please submit only one answer). Courtesy : 한석, Hahn Seok, 인제대학교 해운대 백병원, Inje University Haeundae Paik Hospital Diagnosis: cavernous hemangioma of spinal cord Discussion Findings: Heterogeneous signal intensity d/t blood products of varying ages (popcorn appearance) T2WI: dark rim, d/t hemosiderin deposition, “cap sign” Differential Diagnosis: Spinal ependymoma Discussion: Spinal cord cavernous malformations, also known as spinal cavernomas, are vascular malformations that occur within the spinal cord. It is composed of dilated thin-walled sinusoidal spaces lined by a single layer of endothelium, lack intervening nervous tissue. References: J Neurooncol (2016) 130:229–236

Title : Case 667

Age / Sex : 57 / M

Chief complaint : Rt. upper and lower extremity paresthesia (onset : 15 yrs)

What is your diagnosis?

Two weeks later, you can see the final diagonosis with a brief discussion of this case (Please submit only one answer).

Courtesy : 한석, Hahn Seok, 인제대학교 해운대 백병원, Inje University Haeundae Paik Hospital

Diagnosis:

cavernous hemangioma of spinal cord

Discussion

Findings:

Heterogeneous signal intensity d/t blood products of varying ages (popcorn appearance)

T2WI: dark rim, d/t hemosiderin deposition, “cap sign”

Differential Diagnosis:

Spinal ependymoma

Discussion:

Spinal cord cavernous malformations, also known as spinal cavernomas, are vascular malformations that occur within the spinal cord. It is composed of dilated thin-walled sinusoidal spaces lined by a single layer of endothelium, lack intervening nervous tissue.

References:

J Neurooncol (2016) 130:229–236

Correct Answer
Total applicants	31	Correct answers	22
Name		Institution
김기욱		국군수도병원, 전문의
한유비		전문의
김형민		연세의대 강남세브란스병원, 전문의
윤유성		순천향대 부천병원, 전문의
전인환		전문의
윤소진		분당서울대병원, 전문의
김성윤		전문의
강지희		전문의
이진영		전문의
박준동		마이크로병원, 전문의
이혜란		전문의
변홍권		서울아산병원, 전문의
권기언		서울아산병원, 전문의
박진희		서울아산병원, 전문의
이승보		서울아산병원, 전문의
이규정		고대안암병원, 전문의
이현규		전문의
김동언		국군양주병원, 전문의
김성진		365병원, 전문의
정치형		단국대학교병원, 전공의
안태란		길병원, 전문의
김지환		전공의
Semi-Correct Answer
Total applicants	31	Semi-Correct answers	5
여현정		전문의
변성환		전공의
최형인		군의관, 전문의
백승진		분당차병원, 전공의
김현진		서울성모병원, 전공의