A Case of a Spinal Epidural Capillary Hemangioma: Case Report

Hasan, Alya; Guiot, Marie‐Christine; Torres, Carlos; Marcoux, Judith

doi:10.1227/neu.0b013e3182093320

Cited by 39 publications

(54 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Based on MRI characteristics, spinal epidural vascular le sions can be categorized into 4 types: arteriovenous type with an organized hematoma, venous type, cavernous type, and cavernous type with hematoma. 10 Digital subtraction angiography (DSA) has no role in the management of epi dural cavernous hemangiomas, 7,12 since these lesions fail to show up on angiography and cannot be embolized; how ever, DSA can be helpful in ruling out other types of spi nal vascular malformations. Arteriovenous malformations usually show flow void signal on MR images due to highvelocity blood flow.…”

Section: Fig 2 Case 10 Magnetic Resonance Images Showing An Irregumentioning

confidence: 99%

Primary spinal epidural cavernous hemangioma: clinical features and surgical outcome in 14 cases

Yang

et al. 2015

SPI

View full text Add to dashboard Cite

OBJECT The aim of this study was to investigate the clinical characteristics, imaging features, differential diagnosis, treatment options, and prognosis for primary spinal epidural cavernous hemangiomas. METHODS Fourteen patients with pathologically diagnosed non–vertebral origin cavernous hemangiomas who had undergone surgery at Beijing Tiantan Hospital between 2003 and 2012 were identified in the hospital's database. The patients' clinical data, imaging characteristics, surgical treatment, and postoperative follow-up were analyzed retrospectively. RESULTS There were 9 males and 5 females with an average age of 51.64 years. The primary epidural cavernous hemangiomas were located in the cervical spine (2 cases), cervicothoracic junction (2 cases), thoracic spine (8 cases), thoracolumbar junction (1 case), and lumbar spine (1 case). Hemorrhage was confirmed in 4 cases during surgery. Preoperatively 5 lesions were misdiagnosed as schwannoma, 1 was misdiagnosed as a meningioma, and 1 was misdiagnosed as an arachnoid cyst. Preoperative hemorrhages were identified in 2 cases. Three patients had recurrent cavernous hemangiomas. The initial presenting symptoms were local pain in 5 cases, radiculopathy in 6 cases, and myelopathy in 3 cases. Upon admission, 1 patient had radicular symptoms and 13 had myelopathic symptoms. The average symptom duration was 18 months. All patients underwent surgery; complete resection was achieved in 8 cases, subtotal resection in 4 cases, and partial resection in 2 cases. Postoperative follow-up was completed in 10 cases (average follow-up 34 months); 1 patient died, 5 patients showed clinical improvement, and 4 patients remained neurologically unchanged. CONCLUSIONS Total surgical removal of spine epidural cavernous hemangiomas with a chronic course is the optimum treatment and carries a good prognosis. Secondary surgery for recurrent epidural cavernous hemangioma is technically more challenging. In patients with profound myelopathy from acute hemorrhage, even prompt surgical decompression can rarely reverse all symptoms.

show abstract

Section: Fig 2 Case 10 Magnetic Resonance Images Showing An Irregumentioning

confidence: 99%

Primary spinal epidural cavernous hemangioma: clinical features and surgical outcome in 14 cases

Yang

et al. 2015

SPI

View full text Add to dashboard Cite

show abstract

“…1 Hemangiomas of the spine are generally lesions of the vertebral bodies, but can occur in other locations. 2 It frequently occurs in the intradural extramedullary compartment. 3 Pure epidural hemangiomas are very rare.…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, only nine cases in the English literature have been described. [2][3][4][5][6][7][8][9] Eight of these cases involved thoracic spinal levels and one case involved a lumbar level. 8 Of these, four cases presented with an extraforaminal extension causing a dumbbell-shaped appearance in spinal MRI studies.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Rare Case of Dumbbell-shaped Spinal Epidural Capillary Hemangioma

Sankar¹,

Kumar²,

Rajkumar³

2017

The Journal of Spinal Surgery

View full text Add to dashboard Cite

Study design: A case report and literature review.Summary of background data: Hemangiomas are frequently considered as hamartomatous congenital vascular malformations. Hemangiomas of the spine are usually lesions of the vertebral bodies, but they can occur at other locations, such as the intramedullary or epidural space. Purely epidural hemangiomas are rare and most of them are of cavernous type. Materials and methods:This is a case report of a 70-year-old male with a D6, D7 dumbbell-shaped capillary hemangioma with extraforaminal extension on the left side. Patient underwent D6-8 laminectomy and en bloc resection of the lesion.

show abstract

“…18 Although cutaneous hemangiomas are the most common tumor of infancy, affecting 3%-10% of all children, 20 intradural hemangiomas are much less common. There are multiple reports of spinal extradural 5,10,12 and intradural 8,9,14,15,17,22,23,26 hemangiomas in adults. We report the case of a newborn with a cutaneous hemangioma, as well as hemangiomas in the extradural space and a intradural space involving the DRG.…”

mentioning

confidence: 99%

Spontaneous resolution of an infantile hemangioma in a dorsal root ganglion

Hervey-Jumper¹,

McKeever²,

Gebarśki

et al. 2011

FOC

View full text Add to dashboard Cite

Infantile hemangiomas are tumors commonly seen in children. Few authors have reported infantile hemangiomas affecting the CNS, and there are no prior reports detailing spontaneous resolution of a histologically proven juvenile hemangioma within a dorsal root ganglion. The authors report the case of a newborn boy with a large cutaneous hemangioma in the midline of his back. Spinal MR images were obtained to rule out associated spinal cord tethering, and an intradural spinal lesion was unexpectedly discovered. Biopsy revealed an intradural infantile hemangioma within the dorsal root ganglion, and, based on this diagnosis, no resection was performed. Sixteen months following the biopsy, the cutaneous hemangioma had become involuted and the intradural hemangioma had completely resolved. The behavior of the intradural component in this case follows the natural history of many cutaneous infantile hemangiomas.

show abstract

A Case of a Spinal Epidural Capillary Hemangioma: Case Report

Abstract: Early treatment of this type of lesion should be advocated to prevent deterioration and permanent neurological deficits. Appropriate treatment appears to be gross total resection.

Cited by 39 publications

References 11 publications

Primary spinal epidural cavernous hemangioma: clinical features and surgical outcome in 14 cases

Primary spinal epidural cavernous hemangioma: clinical features and surgical outcome in 14 cases

A Rare Case of Dumbbell-shaped Spinal Epidural Capillary Hemangioma

Spontaneous resolution of an infantile hemangioma in a dorsal root ganglion

Contact Info

Product

Resources

About