๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #21

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ์ด ์ผ€์ด์Šค ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ ๋กœ๊ทธ์ธ
์ธ๊ตฌ ํ†ต๊ณ„ํ•™: Female
์ง€์‹œ์‚ฌํ•ญ: ์š”ํ†ต

์ฆ๋ก€ #21

๊ฒฐ๊ณผ

  • ๊ด‘๋ฒ”์œ„ํ•œ ๋น„๊ท ์งˆ ์‹ ํ˜ธ ๊ฐ•๋„์˜ ๋ฒฝ์žฌ์„ฑ ํ˜ˆ์ „์„ ๋™๋ฐ˜ํ•œ ์ „ํ›„ ์ง๊ฒฝ 4.5 cm์˜ ๋ณต๋ถ€ ๋Œ€๋™๋งฅ๋ฅ˜
  • L1, L2, L4 ์ถ”์ฒด์˜ ๋†’์ด ๊ฐ์†Œ์™€ ์ƒ๋ถ€ ์ข…ํŒ Schmorl ๊ฒฐ์ ˆ. ๊ด€๋ จ T2/STIR ์‹ ํ˜ธ ๊ณ ๊ฐ•๋„ ์—†์Œ
  • ์ฒ™์ˆ˜ ์›์ถ”์˜ ์ •์ƒ ์œ„์น˜, ์œค๊ณฝ ๋ฐ ์‹ ํ˜ธ
  • ๋‹ค๋ถ„์ ˆ ์ถ”๊ฐ„ํŒ ๊ฑด์กฐ ๋ฐ ๋†’์ด ๊ฐ์†Œ, L2-L3์—์„œ ๊ฐ€์žฅ ์ง„ํ–‰๋จ
  • ๋‹ค๋ถ„์ ˆ ๊ด‘๋ฒ”์œ„ ๊ธฐ๋ฐ˜ ์ถ”๊ฐ„ํŒ ํŒฝ๋ฅœ, ํ›„๊ด€์ ˆ ๋น„๋Œ€, ํ™ฉ์ƒ‰์ธ๋Œ€ ๋น„ํ›„๊ฐ€ L4-L5์—์„œ์˜ ์ค‘์ฆ ์ฒ™์ถ”๊ด€ ํ˜‘์ฐฉ ๋ฐ ๊ด€์ ˆํ•˜ ์˜์—ญ ์†Œ์‹ค, L5-S1์—์„œ์˜ ์šฐ์ธก ๊ด€์ ˆํ•˜ ์˜์—ญ ํ˜‘์ฐฉ, ๊ฒฝ๋„ ๋‹ค๋ถ„์ ˆ ์‹ ๊ฒฝ๊ณต ํ˜‘์ฐฉ์— ๊ธฐ์—ฌ
  • ์–‘์ธก ์‹ ์žฅ์˜ T2 ๊ณ ์‹ ํ˜ธ ๊ตฌ์กฐ๋ฌผ๋กœ ๋‚ญ์ข…์„ ์‹œ์‚ฌํ•˜๋ฉฐ, ์šฐ์ธก์ด ์ขŒ์ธก๋ณด๋‹ค ํฐ ์‹ ํ”ผ์งˆ ์–‡์•„์ง

์ง„๋‹จ

๋ณต๋ถ€ ๋Œ€๋™๋งฅ๋ฅ˜ (AAA)

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

๊ด‘๋ฒ”์œ„ํ•œ ๋น„๊ท ์งˆ ์‹ ํ˜ธ ๊ฐ•๋„์˜ ๋ฒฝ์žฌ์„ฑ ํ˜ˆ์ „์„ ๋™๋ฐ˜ํ•œ ์ „ํ›„ ์ง๊ฒฝ 4.5 cm์˜ ๋ณต๋ถ€ ๋Œ€๋™๋งฅ๋ฅ˜. ํ˜ˆ๊ด€์™ธ๊ณผ ํ‰๊ฐ€ ๋ฐ ๋ณต๋ถ€ ์ „์šฉ CT ์ดฌ์˜์„ ๊ถŒ์žฅํ•ฉ๋‹ˆ๋‹ค.

L1, L2, L4 ์ถ”์ฒด์˜ ๋†’์ด ๊ฐ์†Œ์™€ ์ƒ๋ถ€ ์ข…ํŒ Schmorl ๊ฒฐ์ ˆ. ๊ธ‰์„ฑ ๊ณจ์ ˆ์„ ์‹œ์‚ฌํ•˜๋Š” ๊ด€๋ จ T2/STIR ์‹ ํ˜ธ ๊ณ ๊ฐ•๋„ ์—†์Œ.

๋‹ค๋ถ„์ ˆ ๊ด‘๋ฒ”์œ„ ๊ธฐ๋ฐ˜ ์ถ”๊ฐ„ํŒ ํŒฝ๋ฅœ, ํ›„๊ด€์ ˆ ๋น„๋Œ€, ํ™ฉ์ƒ‰์ธ๋Œ€ ๋น„ํ›„๊ฐ€ L4-L5์—์„œ์˜ ์ค‘์ฆ ์ฒ™์ถ”๊ด€ ํ˜‘์ฐฉ ๋ฐ ๊ด€์ ˆํ•˜ ์˜์—ญ ์†Œ์‹ค, L5-S1์—์„œ์˜ ์šฐ์ธก ๊ด€์ ˆํ•˜ ์˜์—ญ ํ˜‘์ฐฉ, ๊ฒฝ๋„ ๋‹ค๋ถ„์ ˆ ์‹ ๊ฒฝ๊ณต ํ˜‘์ฐฉ์— ๊ธฐ์—ฌ.

ํ† ๋ก 

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ํ† ๋ก  ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ

์ฐธ๊ณ ๋ฌธํ—Œ

  • Zidan MMA, Hassan IA, Elnour AM, Ali WM, Mahmoud MZ, Alonazi B, Khalid A, Ali S. Incidental extraspinal findings in the lumbar spine during magnetic resonance imaging of intervertebral discs. Heliyon 2018; 4(9): e00803.

    • ์‚ฌ์ดํŠธ ํ”ผ๋“œ๋ฐฑ

    ์—ฌ๋Ÿฌ๋ถ„์˜ ํ”ผ๋“œ๋ฐฑ์€ CaseStacks ๊ฐœ์„ ์— ๋„์›€์ด ๋ฉ๋‹ˆ๋‹ค. ์˜๊ฒฌ, ์ œ์•ˆ ๋˜๋Š” ๋ฐœ์ƒํ•œ ๋ฌธ์ œ๋ฅผ ๊ณต์œ ํ•ด ์ฃผ์„ธ์š”.

    /5
    ํ”ผ๋“œ๋ฐฑ์„ ๋ณด๋‚ด์ฃผ์…”์„œ ๊ฐ์‚ฌํ•ฉ๋‹ˆ๋‹ค. ์†Œ์ค‘ํžˆ ๋ฐ˜์˜ํ•˜๊ฒ ์Šต๋‹ˆ๋‹ค.