The Korean Journal of INternal Medicine
eISSN 2005-6648
pISSN 1226-3303
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Case reports
Korean J Intern Med. 2010 June;25(2):221-223.
DOI: 10.3904/kjim.2010.25.2.221

A Large Intrathoracic Meningocele in a Patient with Neurofibromatosis-1
Jae Wook Jeong1, Kwang Young Park1, Sang Min Yoon2, Du Whan Choe3, Cheol Hyeon Kim1, and Jae Cheol Lee1

Departments of 1Internal Medicine, 2Neurosurgery, and 3Radiology, Korea Cancer Center Hospital, Seoul, Korea
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A large intrathoracic meningocele, a saccular protrusion of the meninges through a dilated intervertebral foramen or a bony defect of the vertebral column, was diagnosed in a 41-year-old female patient showing clinical features of neurofibromatosis-1 (NF-1), including café-au-lait spots, cutaneous neurofibromas, and axillary frecklings and Lisch nodules on the iris. Her daughter and son also had similar manifestations of NF-1. Regular follow-up with periodic imaging was recommended without surgical treatment because there were no signs or symptoms. Meningocele should be differentiated from posterior mediastinal tumors such as neurofibroma, neuroblastoma, and ganglioneuroma because NF-1 has a high risk of tumor formation. We report on this case with a brief review of the literature. (Korean J Intern Med 2010;25:221-223)
Keywords : Meningocele; Neurofibromatosis 1
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