Plasma cell granuloma in 1 case of epidural.doc

 PAGE \* MERGEFORMAT 5 Plasma cell granuloma in 1 case of epidural [Keywords:] epidural plasma cell granuloma Case Information Patients, male, aged 55, Han nationality. On September 15, 2008 was admitted to hospital 40 days ago without a clear sense of chest and back pain incentives, more than 10 days ago suddenly felt numbness in both legs, weakness. Of both lower extremities can be standing, walking, patients may of labor, after the numbness gradually spread to the trunk, weakness gradually worsened. about 7 days before the early morning found both lower extremities when standing, difficulty walking, need another arm. Physical examination: T: 37 ℃, P: 86 times / min, R: 18 times / min, BP: 130/80mmHg, Shen Qing, heart, lungs, abdomen were normal. Spine without deformity, T3, T4 vertebral spine No sudden tenderness, pain with deep percussion. 6cm from the bottom of the following bilateral nipples, feeling diminished, Babmskii’s sign, ankle clonus on the right positive, left negative. MRI Performance: T3, T4 vertebral level of epidural strip slightly longer T1 T2 abnormal signal intensity slightly longer see (Figure 1,2, the pressure was mixed as higher fat signal (Figure 3, are seen round the right paravertebral abnormal signal intensity, partial spinal cord was compressive deformation. enhanced MRI spinal lesions were obviously enhanced band change, T3 levels can be seen from the right side of the spinal canal via the intervertebral foramen in the formation of round-like enhancement in the paraspinal abnormal signal intensity. Surgery and pathology: tumors located in the epidural, hard and tough, creeping growth of adhesions surrounding the dural sac around heavy packages, invasion, and 2,3,3,4 intervertebral foramen, nerve root and spinal dural sac, blood for the medium, not invasion, and bone. pathological findings: (spinal proliferation of fibrous tissue in a large number of lymphocytes, plasma cells infiltration, and see scattered in the