๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #10

PRO ํ”Œ๋žœ ํ•„์š”

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

ํ™˜์ž ์ •๋ณด: 4 ์„ธ, ๋‚จ์„ฑ
์ ์‘์ฆ: ๊ธฐ๋ฉด

์†Œ๊ฒฌ

CT

  • ์ œ4๋‡Œ์‹ค ์ค‘์‹ฌ์˜ ๊ณ ์Œ์˜ ํ›„๋‘๊ฐœ์™€ ์ข…๊ดด
  • ์ธก๋‡Œ์‹ค ๋ฐ ์ œ3๋‡Œ์‹ค์˜ ํ˜„์ €ํ•œ ํ™•์žฅ๊ณผ ๋‡Œ์‹ค์ฃผ์œ„ ๋ถ€์ข…์„ ๋™๋ฐ˜ํ•œ ํ์‡„์„ฑ ์ˆ˜๋‘์ฆ
  • ์ „๋ฐ˜์ ์ธ ๋‡Œ๊ณ ๋ž‘ ๋ฐ ์ˆ˜์กฐ ์†Œ์‹ค

MRI

  • ์ œ4๋‡Œ์‹ค ๋ฐ”๋‹ฅ์—์„œ ๊ธฐ์›ํ•˜์—ฌ ์šฐ์ธก์ด ์ขŒ์ธก๋ณด๋‹ค ๋‘๋“œ๋Ÿฌ์ง„ Luschka ๊ณต๊ณผ Magendie ๊ณต์„ ํ†ตํ•ด ๊ต์ „์กฐ, ์—ฐ์ˆ˜์ „์กฐ ๋ฐ ์ƒ๊ฒฝ์ถ” ์ฒ™์ˆ˜๊ด€์œผ๋กœ ํ™•์žฅ๋˜๋Š” ๋Œ€ํ˜•, ์ด์งˆ์ ์œผ๋กœ ์กฐ์˜์ฆ๊ฐ•๋˜๋Š” ์ข…๊ดด
  • ์†Œ๋‡Œ, ๊ต, ์—ฐ์ˆ˜ ๋ฐ ์ƒ๊ฒฝ์ถ” ์ฒ™์ˆ˜์— ๋Œ€ํ•œ ๊ด‘๋ฒ”์œ„ํ•œ ์••๋ฐ• ํšจ๊ณผ
  • T2 ์‹ ํ˜ธ๊ฐ•๋„๊ฐ€ ํšŒ๋ฐฑ์งˆ๊ณผ ์œ ์‚ฌ
  • ๋Œ€์‘ํ•˜๋Š” ํ™•์‚ฐ ์ œํ•œ ์—†์Œ
  • CT์™€ ์ƒ๊ด€๊ด€๊ณ„์—์„œ ์„ํšŒํ™”๋กœ ์ถ”์ •๋˜๋Š” ๋‚ด๋ถ€ ์žํ™”์œจ ์ธ๊ณต๋ฌผ์˜ ๋ช‡๋ช‡ ์ดˆ์ 
  • ๊ธฐ์ €๋™๋งฅ ๋ฐ ๊ฒฝ๋ง‰๋‚ด ์ถ”๊ณจ๋™๋งฅ์˜ ๋‘˜๋Ÿฌ์‹ธ์ž„

์ฃผ์„์ด ์žˆ๋Š” ์ด๋ฏธ์ง€ ๋ฐ ์ผ๋Ÿฌ์ŠคํŠธ

Posterior fossa ependymoma extending through the foramina of Luschka (red arrows), encasing the basilar artery (yellow arrow), and severely deforming the medulla (blue arrow).

Posterior fossa ependymoma extending through the foramina of Luschka (red arrows), encasing the basilar artery (yellow arrow), and severely deforming the medulla (blue arrow).

Sagittal T1 precontrast image shows the tumor encasing multiple posterior fossa structures and extending inferiorly within the dorsal aspect of the upper cervical spinal canal (red arrow).

Sagittal T1 precontrast image shows the tumor encasing multiple posterior fossa structures and extending inferiorly within the dorsal aspect of the upper cervical spinal canal (red arrow).

Heterogeneous areas of internal enhancement, including in the prepontine tumor component (red arrow).

Heterogeneous areas of internal enhancement, including in the prepontine tumor component (red arrow).

์ง„๋‹จ

๋‡Œ์‹ค๋ง‰์ข…

์ฃผ์š” ์˜์ƒ ์†Œ๊ฒฌ

์ฃผ์š” ์˜์ƒ ํŠน์ง•์„ ์ž ๊ธˆ ํ•ด์ œํ•˜๋ ค๋ฉด PRO ๋ฉค๋ฒ„๊ฐ€ ๋˜์„ธ์š”

๊ฐ๋ณ„์ง„๋‹จ

๊ฐ๋ณ„ ์ง„๋‹จ์„ ์ž ๊ธˆ ํ•ด์ œํ•˜๋ ค๋ฉด PRO ๋ฉค๋ฒ„๊ฐ€ ๋˜์„ธ์š”

๊ณ ์ฐฐ

PRO ํ”Œ๋žœ ํ•„์š”

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

ํ”Œ๋žœ ๋ณด๊ธฐ

ํ•ต์‹ฌ ํฌ์ธํŠธ

ํ•ต์‹ฌ ํŒ์„ ์ž ๊ธˆ ํ•ด์ œํ•˜๋ ค๋ฉด PRO ๋ฉค๋ฒ„๊ฐ€ ๋˜์„ธ์š”

์‚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”.

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