Intraspinal Lymphangioma Mimicking Lumbar Disc Herniation

Intraspinal soft tissue lymphangioma is extremely rare and very few cases of intraspinal lymphangioma have been reported. To our knowledge, most reported intraspinal lymphangioma cases manifested only pain or minor neurologic sign. We report here one case of intraspinal lymphangioma which caused pro...

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Main Authors: Woo Seok Kim, Yong Ahn
Format: Article
Language:English
Published: Korean Minimally Invasive Spine Surgery Society 2018-05-01
Series:Journal of Minimally Invasive Spine Surgery and Technique
Subjects:
Online Access:http://www.jmisst.org/upload/pdf/jmisst-2017-00276.pdf
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author Woo Seok Kim
Yong Ahn
author_facet Woo Seok Kim
Yong Ahn
author_sort Woo Seok Kim
collection DOAJ
description Intraspinal soft tissue lymphangioma is extremely rare and very few cases of intraspinal lymphangioma have been reported. To our knowledge, most reported intraspinal lymphangioma cases manifested only pain or minor neurologic sign. We report here one case of intraspinal lymphangioma which caused profound foot drop. Total removal could be achieved by two microscopic surgeries because of initial misdiagnosis as an organized herniated disc fragment. Six months later, the weakness of her right ankle and big toe was improved to grade 3. There was no evidence of clinical recurrence or aggravation at the final followup visit. If there is an impression suggesting tumorous lesion as in our case, more aggressive evaluation and treatment policy is required to avoid unnecessary further surgery.
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spelling doaj.art-c4fa695aa54041b3a3d3ed38bdf53fb42023-01-17T04:11:36ZengKorean Minimally Invasive Spine Surgery SocietyJournal of Minimally Invasive Spine Surgery and Technique2508-20432018-05-0131394110.21182/jmisst.2017.0027642Intraspinal Lymphangioma Mimicking Lumbar Disc HerniationWoo Seok Kim0Yong Ahn1 Department of Neurosurgery, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Neurosurgery, Gil Medical Center, Gachon University College of Medicine, Incheon, KoreaIntraspinal soft tissue lymphangioma is extremely rare and very few cases of intraspinal lymphangioma have been reported. To our knowledge, most reported intraspinal lymphangioma cases manifested only pain or minor neurologic sign. We report here one case of intraspinal lymphangioma which caused profound foot drop. Total removal could be achieved by two microscopic surgeries because of initial misdiagnosis as an organized herniated disc fragment. Six months later, the weakness of her right ankle and big toe was improved to grade 3. There was no evidence of clinical recurrence or aggravation at the final followup visit. If there is an impression suggesting tumorous lesion as in our case, more aggressive evaluation and treatment policy is required to avoid unnecessary further surgery.http://www.jmisst.org/upload/pdf/jmisst-2017-00276.pdfintraspinallumbar disc herniationlymphangioma
spellingShingle Woo Seok Kim
Yong Ahn
Intraspinal Lymphangioma Mimicking Lumbar Disc Herniation
Journal of Minimally Invasive Spine Surgery and Technique
intraspinal
lumbar disc herniation
lymphangioma
title Intraspinal Lymphangioma Mimicking Lumbar Disc Herniation
title_full Intraspinal Lymphangioma Mimicking Lumbar Disc Herniation
title_fullStr Intraspinal Lymphangioma Mimicking Lumbar Disc Herniation
title_full_unstemmed Intraspinal Lymphangioma Mimicking Lumbar Disc Herniation
title_short Intraspinal Lymphangioma Mimicking Lumbar Disc Herniation
title_sort intraspinal lymphangioma mimicking lumbar disc herniation
topic intraspinal
lumbar disc herniation
lymphangioma
url http://www.jmisst.org/upload/pdf/jmisst-2017-00276.pdf
work_keys_str_mv AT wooseokkim intraspinallymphangiomamimickinglumbardischerniation
AT yongahn intraspinallymphangiomamimickinglumbardischerniation