Cavernomas of the spinal cord

Vaquero, Jesús; Martínez, Roberto; Martinez, Pedro

doi:10.1227/00006123-198801010-00025

Cited by 15 publications

(3 citation statements)

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“…In children, 6 out of 9 cases of symptomatic ISCCA were males, thus accounting for a male to female ratio of 2:1. Multiple cavernous angioma of the central nervous system has been recognized in both adult and pediatric patients [23, 32, 47]. A higher incidence of multiple ISCCA has been recognized in Hispanics [7, 47].…”

Section: Discussionmentioning

confidence: 99%

“…Twenty to 25% are infratentorial, and most commonly pontine in location [1]. Intramedullary spinal cord cavernous angiomas (ISCCAs) represent only 3–5% of the total central nervous system lesions identified; 110 cases of ISCCA have been reported in the literature [3, 8, 12, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45]. …”

Section: Introductionmentioning

confidence: 99%

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Intramedullary Cavernous Angiomas of the Spinal Cord in the Pediatric Age Group: A Pediatric Series

Nagib¹,

O’Fallon²

2002

Pediatr Neurosurg

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The authors have reviewed available data from 7 pediatric patients with intramedullary spinal cord cavernous angioma (ISCCA) reported in the literature, and added from their own series 2 pediatric patients, for a total of 9 patients. This group of pediatric patients’ clinical presentation, course, management and outcome were compared to their adult counterparts as reported in the literature. In contrast to adults, children with symptomatic ISCCA do not show a gender imbalance and the thoracic spinal cord is not predominantly involved. Pediatric patients commonly present with an acute episode and rapid deterioration. A more favorable outcome has been reported in children as compared to adults in the face of relatively similar presenting deficits. As in adults, magnetic resonance imaging (MRI) remains the diagnostic and postoperative test of choice. Complete resection affords the best chance for cure. Symptomatic children with ISCCA characteristically present with an acute deficit and rapid deterioration. MRI of the entire neuraxis is recommended for lesion multiplicity. An attempt at total resection and long-term MRI follow-up are recommended.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Intramedullary Cavernous Angiomas of the Spinal Cord in the Pediatric Age Group: A Pediatric Series

Nagib¹,

O’Fallon²

2002

Pediatr Neurosurg

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“…The concrete indications for surgery in the treatment of the asymptomatic cavernomas are not well established. 15 …”

Section: Discussionmentioning

confidence: 99%

Cavernous angioma of the conus medullaris as a cause of paraplegia

et al. 1999

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Cavernous angiomas of the conus medullaris are unusual lesions, representing about 3% of all intramedullary cavernomas. Most are asymptomatic. Magnetic resonance imaging (MRI) is the best diagnostic tool for the detection. We report a case of a 74-year-old man who initially developed low back pain and numbness of the right leg and subsequently paraplegia, ASIA impairment scale`c'. MRI revealed a cavernous angioma of the conus medullaris with perilesional oedema and signs of acute bleeding. Clinical improvement was associated with changes in the MRI.

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Cervical intramedullary cavernous angioma with MRI-proven haemorrhages

Mehdorn

Stolke

1991

J Neurol

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Two contrasting cases of cervical intramedullary cavernous angioma in young female patients are reported. One patient had a 3-year course of step-wise progressive tetraparesis; at each of the five events intramedullary bleeding from a cryptic vascular malformation at C6-7 level was diagnosed by MRI. The other patient presented with one episode which led to MRI diagnosis of a vascular malformation at the C2 level. Both patients eventually underwent complete surgical excision of the angioma with subsequent steady improvement of the neurological deficit.

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Cavernomas of the spinal cord

Abstract: Two cases of intramedullary cavernomas are presented. Both patients showed progressive neurological deficit. Cavernoma must be considered in the differential diagnosis of spinal cord tumors.

Cited by 15 publications

References 0 publications

Intramedullary Cavernous Angiomas of the Spinal Cord in the Pediatric Age Group: A Pediatric Series

Intramedullary Cavernous Angiomas of the Spinal Cord in the Pediatric Age Group: A Pediatric Series

Cavernous angioma of the conus medullaris as a cause of paraplegia

Cervical intramedullary cavernous angioma with MRI-proven haemorrhages

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