Acute Presentation of Spinal Epidural Cavernous Angiomas

Caruso, Giuseppe; Galarza, Marcelo; Borghesi, Ignazio; Pozzati, Eugenio; Vitale, Mario

doi:10.1227/01.neu.0000255345.48829.0b

Cited by 36 publications

(56 citation statements)

References 28 publications

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“…In this type, the initial symptom was a sudden onset of aesthesia, followed by rapid development of paralysis and sphincter disturbances. All these findings corresponded to the previous reports (3,4,6,8).…”

Section: Discussionsupporting

confidence: 93%

“…Motor deficit eventually appeared in the late stages. The acute type, with a sudden onset of neurological deterioration, was usually caused by a large amount of acute hemorrhage (3,6,8). In this type, the initial symptom was a sudden onset of aesthesia, followed by rapid development of paralysis and sphincter disturbances.…”

Section: Discussionmentioning

confidence: 99%

“…Caruso et al (6) postulated that the specific epidural localization may be explained by the embryological development of dura mater; the vascular elements from the primordial plexus may have some influence in the postnatal development of a cavernous lesion. This theory is attractive because it provides an easily understandable mechanism.…”

Section: Discussionmentioning

confidence: 99%

“…Solitary epidural CAs not originating from the vertebral bone are relatively rare. With the aid of magnetic resonance imaging (MRI), solitary epidural CAs are being discovered in increasing numbers; nevertheless, most previous studies are case reports with an associated literature review and large series studies are very limited in the literature (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17). Because of the risk of spontaneous and intraoperative bleeding, solitary epidural CAs need to get neurosurgeons more attention.…”

Section: Introductionmentioning

confidence: 99%

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Clinical characteristics and surgical outcomes of solitary spinal epidural cavernous angiomas

2018

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Abstract. The majority of spinal cavernous angiomas (CAs) originate from the vertebral bodies with or without epidural space extension. Solitary epidural CAs are rare. In the present study, we retrospectively reviewed the records of 12 patients who underwent microsurgery for solitary spinal epidural CAs. All patients had performed pre-and postoperative magnetic resonance imaging. The patients were 7 females and 5 males with the mean age of 52.1 years. Two tumors were located in the cervicothoracic spine, nine in the thoracic spine and one in the lumbar spine, respectively. Solitary epidural CAs generally exhibited isointensity on T1-weighted images and hyperintesity on T2-weighted images. Contrast-enhanced T1-weighted images showed homogeneous markedly enhancement. Gross total resection (GTR) was achieved in 11 cases, and subtotal resection (STR) was achieved in 1 case. During an average follow up of 35.9 months, neurological function was improved in 11 patients and in one patient, preoperative status was maintained. No patient experienced tumor recurrence. These findings suggest that CAs should be considered in the differential diagnosis of spinal epidural lesions. Early surgery is advocated to prevent irreversible neurological deficits. When aggravated by a large amount of acute hemorrhage, neurological deterioration is usually acute and prompt surgical decompression is the optimal choice. Because of the excessive vascularity of CAs, en bloc resection is recommended. In addition, a good clinical outcome after GTR can be expected, and the risk of long-term recurrence is low.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical characteristics and surgical outcomes of solitary spinal epidural cavernous angiomas

2018

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“…КМ головного и спинного мозга обычно не обнаруживают по данным ангиографии. Благодаря этому их часто называют оккультными, криптными, ангиографически невидимыми [10,11].…”

Section: ëокализация кмunclassified

Diagnosis and treatment of cavernous malformations of the spine and spinal cord

Слынько¹,

Золотоверх²,

Verbov³

et al. 2012

Ukr Neurosurg J

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Ñëыíüêî Е.И., Зîëîòîâåðх À.М., Âåðбîâ Â.Â., Пèøàíîâ Ð.Ò. Диагностика и лечение кавернозных мальôормаций позвоночника и спинного мозгаИнститут нейрохирургии им. акад. А.П. Ромоданова НАМН Украины, отделение патологии позвоночника и спинного мозга, г. Киев Введение. Исследование проведено в целях уточнения особенностей структуры кавернозных мальфор-маций, разработки техники их хирургического лечения, анализа результатов лечения.Методы. У 36 больных по поводу кавернозных мальформаций позвоночника и спинного мозга выполнены открытые оперативные вмешательства, у 52 больных применяли консервативное лечение. Анализировали клинические проявления, данные рентгенологических исследований, результаты хирургического, лучевого, медикаментозного лечения больных, операционные находки и данные гистологических исследований уда-ленных участков ткани мальформации.Выводы. Лечебная тактика определяется наличием и выраженностью спинального компрессионного синдрома. При его отсутствии или начальных проявлениях обосновано проведение лучевого лечения. Хирур-гическое вмешательство показано при необходимости устранения радикулит-медуллярной компрессии.При наличии интрадурально расположенных экстра-и интрамедуллярные кавернозных мальформаций следует выполнять открытое хирургическое вмешательство, направленное на удаление мальформации.

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Spinal Cavernous Angioma (Cavernoma)

Akhaddar

2023

Atlas of Sciatica

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Acute Presentation of Spinal Epidural Cavernous Angiomas

Cited by 36 publications

References 28 publications

Clinical characteristics and surgical outcomes of solitary spinal epidural cavernous angiomas

Clinical characteristics and surgical outcomes of solitary spinal epidural cavernous angiomas

Diagnosis and treatment of cavernous malformations of the spine and spinal cord

Spinal Cavernous Angioma (Cavernoma)

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