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Adrenal Cortical Adenoma Associated with Spinal Epidural Lipomatosis and Paraplegia.

Journal of the Korean Pediatric Society 1986;29(7):784-790.
Published online July 31, 1986.
Adrenal Cortical Adenoma Associated with Spinal Epidural Lipomatosis and Paraplegia.
Il Whan Kim1, Chul Hoe Koo1, Jae Sun Park1, Sung Uhn Baek2, Sung Do Lee2, Kyu Ho Lee2, Jae Do Kim2, Bang Hur3, In Sun Jun3
1Department of Pediatrics, Kosin Medical College, Busan, Korea
2Department of Surgery, Kosin Medical College, Busan, Korea
3Department of Pathology, Kosin Medical College, Busan, Korea
경막외 지방종증과 하반신마비를 동반한 Cushing 증후군 1례
김일환1, 구철회1, 박재선1, 백승언2, 이승도2, 이규호2, 김재도2, 허 방3, 전인선3
1고신의대 소아과학교실
2고신의대 외과학교실
3고신의대 병리학교실
Abstract
A 14 year old girl was admitted because of severe obesity, respiratory difficulty and weakness of legs with edema. Diagnosis of Cushing* s syndrome by left adrenal adenoma was made by hormonal assay, abdominal C-T and surgery. 1 week after adrenalectomy, she developed paraplegia which was caused by massive deposition of fat in the spinal epidural space and compression of thoracic spinal cord. She was successfully treated by left adrenalectomy and total laminectomy of T2 to T9 vetebra with removal of epidural fat pad and has been followed up with gradual improve- ment in walking, Cushingoid appearance for the next 4 months and she recovered completely 11 months after operation.
Key Words: Adrenal cortical adenoma, Cushing’s Syndrome, Spinal epidural lipomatosis, Paraplegia.


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