Extradural spinal cord hemangioblastoma (a case report and literature review)

Konovalov, Nikolay; Shishkina, L V; Asyutin, D S; Onoprienko, R A; Korolishin, V A; Закиров, Б А; Martynova, M A; Cherkiev, I U; Pogosyan, A.; Тimonin, S Yu

doi:10.17116/neiro201680688-92

Cited by 5 publications

(7 citation statements)

References 4 publications

(5 reference statements)

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“…Most of the reported cases involve the thoracic and lumbar regions, but spinal extradural location is extremely rare. 4 Cervical spine HBs are exceptional [5][6][7][8] and, to our knowledge, a pure extradural dumbbell HB in this location has not been described previously.…”

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confidence: 68%

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A pure extradural hemangioblastoma mimicking a dumbbell nerve sheath tumor in cervical spine: illustrative case

Piquer-Belloch¹,

Rodríguez-Mena²,

Llácer-Ortega³

et al. 2021

Journal of Neurosurgery: Case Lessons

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BACKGROUND Spinal extradural hemangioblastomas (HBs) are quite uncommon, with most reported cases involving the thoracic and lumbar areas. Therefore, the presence of a dumbbell-shaped pure extradural cervical HB is exceptional, making preoperative diagnosis particularly challenging. OBSERVATIONS The authors report a case of a 27-year-old woman who presented to their outpatient clinic with progressive cervicobrachialgia and numbness in the left arm. Magnetic resonance imaging showed a C5–6 intradural extramedullary lesion, and, despite some atypical features, the diagnosis of a possible neurogenic tumor was made. A multidetector computed tomography scan and angiography confirmed the expansion and remodeling of the left neural foramen as well as the highly vascularized nature of the mass. Preoperative embolization of the lesion was performed. Complete tumor resection was accomplished, followed by a C5–6 posterior fusion. Histopathology and immunohistochemistry revealed an HB. LESSONS HBs should be considered among the differential diagnosis of cervical extradural tumors. Exhaustive preoperative workup and surgical planning are decisive in order to attain gross-total resection with favorable outcomes.

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confidence: 68%

“…Extradural cervical HBS are exceptional, with only five cases reported so far. [5][6][7][8] Furthermore, there have been two cases of both intra and extradural dumbbell-shaped lesions found in the literature, 1,11 but this is the first description of a complete extradural dumbbell-shaped cervical HB.…”

Section: Discussionmentioning

confidence: 91%

A pure extradural hemangioblastoma mimicking a dumbbell nerve sheath tumor in cervical spine: illustrative case

Piquer-Belloch¹,

Rodríguez-Mena²,

Llácer-Ortega³

et al. 2021

Journal of Neurosurgery: Case Lessons

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show abstract

“…Preoperative embolization of extracranial hemangioblastomas is widely described in spinal cord tumors, nevertheless, radicular extradural hemangioblastoma is a very rare entity and is not usually the presumable preoperative diagnosis. This leads to very few cases of pre-surgical embolization of these lesions (only two cases described in the literature),12 however, if the pre-surgical suspicion is of hemangioblastoma, a preoperative embolization (case 3) should be performed to significantly reduce the risk of hemorrhage during the surgical act.…”

Section: Discussionmentioning

confidence: 99%

Embolization through the thyrocervical trunk: vascular anatomy, variants, and a case series

Pérez-García

Malfaz

Diéguez

et al. 2018

J NeuroIntervent Surg

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“…Among the tumors of the spinal cord, according to modern authors, extramedullary tumors predominate and constitute up to 70% of all spinal tumors. The results of surgical treatment of spinal cord tumors depend on many factors: the duration of the disease, the extent of neurological deficit, the radicality of tumor removal, and the extent of intraoperative trauma to the spinal cord ( 3 , 4 ). All these factors should be considered in combination ( 3 , 5 ).…”

Section: Introductionmentioning

confidence: 99%

“…To date, the main method of treating spinal cord tumors is surgical excision. However, indications for specific surgical approaches to these tumors are still insufficiently developed and depend on the anatomical location of the tumor, histological diagnosis, and the aggressiveness of the neoplasm ( 3 , 6 , 7 ). Currently, the results of spinal cord tumor surgery are still unsatisfactory, and far from perfect ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

Comparing Two Improved Techniques With the Traditional Surgical Techniques for Intra and Extramedullary Spinal Tumor Resection: A Report of 280 Cases

et al. 2022

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ObjectivesSpinal tumors remain a challenging problem in modern neurosurgery. The high rate of postoperative morbidity associated with intramedullary tumors makes the need for safer surgical techniques invaluable. This study analyses our experience with the treatment of spinal cord tumors and compares traditional management and a new different surgical approach to intramedullary tumors with an associated hydrosyringomyelia.Materials and MethodsThis retrospective study compared standard surgical techniques and 2 newer modified techniques for intra and extramedullary spinal tumors at the Neurosurgery center for spinal cord tumors of the Republic of Uzbekistan. Preoperative neurological status was recorded with the ASIA/ISNCSCI scale. Postoperative outcome was graded using the Nurrick score.ResultsOf the 280 cases, there were 220 (78.5%) extramedullary and 60 (21.5%) with intramedullary spinal tumors. The control and main group had 159 (56.8%) and 121 (43.2%) patients, respectively. Severe compression myelopathy (ASIA- A, B, C) was 217 (77.5%) patients i.e., ASIA A-39 (13.9%); B-74 (26.4%), and C-104 (37.1%). In 74 extramedullary tumors (33.6%) treated with the new method, good postoperative outcomes in 44 cases (59.5%) with OR = 1.9; 95% CI 1.1–3.3 (p < 0.05). Thirty-seven (61.7%) intramedullary tumors were treated with the newer modified technique. There was no difference with the standard method (p = 0.15). However, when comparing postoperative Nurick grade 1–2 with grade 3–4, the newer strategy was superior with improvement in 24 (65%) patients, OR = 3.46; 95% CI 1.2–10.3 (p < 0.05).ConclusionWhen compared with standard methods, the proposed newer modified strategy of surgical treatment of spinal cord tumors with the insertion of a syringosubarachnoid shunt in the presence of an associated hydrosyringomyelia is associated with better postoperative outcome (Nurick 1 and 2) in 64.8%.

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Extradural spinal cord hemangioblastoma (a case report and literature review)

Cited by 5 publications

References 4 publications

A pure extradural hemangioblastoma mimicking a dumbbell nerve sheath tumor in cervical spine: illustrative case

A pure extradural hemangioblastoma mimicking a dumbbell nerve sheath tumor in cervical spine: illustrative case

Embolization through the thyrocervical trunk: vascular anatomy, variants, and a case series

Comparing Two Improved Techniques With the Traditional Surgical Techniques for Intra and Extramedullary Spinal Tumor Resection: A Report of 280 Cases

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