Intra-Root Cavernous Angioma of the Cauda Equina : A Case Report and Review of the Literature

Sun, Chun; Kim, Sang Jin; Lee, Tae Hoon; Koo, Hye Soo

doi:10.3340/jkns.2010.47.4.291

Cited by 12 publications

(18 citation statements)

References 12 publications

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“…They are iso-, hypo-, or hyperintense on both T1-weighted and T2-weighted images, depending on the presence of hemosiderin, calcification, and the intensity of blood flow, and are generally surrounded by a hypointense hemosiderin ring on T2-weighted images [1][2][3][4]6,11 . Enhancement after contrast injection is variable, with no or homogeneous enhancement 1,3,4,6,11 . In the present two cases, the lesion was hyperintense on both T1-weighted and T2-weighted images due to intralesional hemorrhage, and enhanced nonhomogeneously.…”

Section: Discussionmentioning

confidence: 99%

“…Cavernous angiomas are well-circumscribed multilobulated vascular lesions with a mulberry appearance 6,10 . They are composed of di- ernoma presented with acute onset of lumbar pain without spinal SAH.…”

Section: Discussionmentioning

confidence: 99%

“…In the spine, they represent 5-12% of all spinal vascular abnormalities 1,2,3,5-7 , most of them arising within the vertebral bodies with or without involvement of the extradural space 1,2,4,6,[8][9][10] . About 3% are intradural, usually localized within the spinal cord [6][7][8][9]11 . Rarely, cavernous angiomas have been reported to occur in the cauda equina.…”

Section: Introductionmentioning

confidence: 99%

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Cauda Equina Cavernous Angioma Presenting as Acute Low Back Pain and Sciatica

Khalatbari¹,

Hamidi²,

Moharamzad³

et al. 2011

Neuroradiol J

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Spinal cavernous angiomas are rare vascular lesions occurring mainly in the vertebral bodies extending secondary into the extradural space. Only 3% of these lesions are intradural, usually localized within the spinal cord. Rarely, cavernous angioma has been reported to occur in the cauda equina. We describe clinical, diagnostic imaging, and surgical procedures of two cases of cavernous angioma of the cauda equina who presented with acute back pain and sciatica. The relevant literature is also reviewed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Cauda Equina Cavernous Angioma Presenting as Acute Low Back Pain and Sciatica

Khalatbari¹,

Hamidi²,

Moharamzad³

et al. 2011

Neuroradiol J

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“…Of these 7 cases, 4 developed neurological deficits. 4,19 In our case, the origin of the cauda equina, as well as the conus medullaris, was encapsulated by adherent tumors that were difficult to dissect, and several pieces of tumor were attached to different nerve roots. Repetitive hemorrhage in and around CAs might induce inflammation, which causes adhesion of the tumor to its surrounding tissue.…”

Section: Discussionmentioning

confidence: 99%

Coexistence of multiple cavernous angiomas in the spinal cord and skin: a unique case of Cobb syndrome

Matsui¹,

Mineharu²,

Satow³

et al. 2014

SPI

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Cobb syndrome is a rare, noninherited, neurocutaneous disease characterized by vascular abnormality of the spinal cord and is associated with vascular lesions in the skin at the same metamere. The majority of spinal vascular lesions are arteriovenous malformations, and skin lesions are mostly port-wine angiomas. The authors report the first case of multiple intramedullary cavernous angiomas (CAs) accompanied by skin CAs within the same metamere. A 42-year-old man presented with an acute onset of gait disturbance, low-back pain, and urinary incontinence. Magnetic resonance imaging of the thoracolumbar spine showed homogeneously enhanced lesions on a contrast-enhanced T1-weighted image and a hypointense area on a T2*-weighted image surrounding this enhanced lesion, between the T-12 and S-1 levels. Purple protruding skin lesions were detected on the left side of his gluteal region. The patient received a laminectomy followed by evacuation of a hematoma and partial removal of the tumor, which completely resolved his neurological symptoms. Pathological examinations showed that the spinal and skin lesions were CAs, suggesting that these vascular lesions developed congenitally. Cavernous angiomas associated with Cobb syndrome present with multiple lesions spanning more than 3 vertebral levels, making it difficult to completely resect these tumors. Although Cobb syndrome is an uncommon disease entity, it should be considered if a patient manifesting with neurological deficits has skin vascular lesions, including CAs.

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“…It is accepted knowledge that cavernous angiomas malformation of the cauda equina occurs in the nerve root, the interior side of dura mater and pial surface of the spinal cord within the dura mater outside of the spinal cord [9]. Spinal Schwannoma and cauda equina ependymoma, as well as other spinal intradural extradural space-occupying lesions [10], should be considered in the differential diagnosis.…”

Section: Case Reportmentioning

confidence: 99%

A Rare Case of Cavernous Angioma of the Cauda Equina with Spinal Subarachnoid Hemorrhage in a Patient with Multiple Brain Cavernomatosis. Case Report and Review of Literature

Rizzi¹,

Berardi²,

Beigrezaei³

et al. 2016

JNSK

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Objective: To report a rare case of cavernous angioma of the cauda equina with signs of intratumoral and subarachnoid hemorrhage in a patient affected by multiple brain cavernomatosis, and to discuss the clinicoradiological and surgical features of these uncommon lesions using the data available in the literature. Summary of Background Data:Cavernous angiomas of the cauda equina are extremely rare lesions, accounting for only 5% to 12% of all vascular lesions of the spine, and rarely cause spinal subarachnoid hemorrhage. Including the present, only 27 cases are reported in literature. Methods:A case report and review of the literature.Results: A 50 year-old female with history of multiple brain cavernomatosis, presented with low back pain, paraparesis and lower limb hypoesthesia from six months. MRI scans showed a well defined intradural extramedullary mass in the cauda equine at L2 level, with signs of subarachnoid hemorrhage in L5-S1. An "en-bloc" removal of the lesion was performed. The patient was discharged with no neurological deficit. MRI scan 6 months after surgery showed total excision of the lesion with no recurrence. Conclusion:Cavernous angiomas of the cauda equine associated with multiple cerebral cavernous angiomas are extremely rare lesions. They may present low back pain, sciatica, neurologic deficit and subarachnoid hemorrhage. They can be successfully surgically removed in order to prevent bleeding and dangerous enlargement of the lesion.

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Intra-Root Cavernous Angioma of the Cauda Equina : A Case Report and Review of the Literature

Abstract: Authors experienced intra-root cavernous angioma which is very rare case among cavernous angiomas of cauda equina. Our intra-root cavernous angioma was confirmed by findings from operating field and microscopic examination. We report this case with review of the literature.

Cited by 12 publications

References 12 publications

Cauda Equina Cavernous Angioma Presenting as Acute Low Back Pain and Sciatica

Cauda Equina Cavernous Angioma Presenting as Acute Low Back Pain and Sciatica

Coexistence of multiple cavernous angiomas in the spinal cord and skin: a unique case of Cobb syndrome

A Rare Case of Cavernous Angioma of the Cauda Equina with Spinal Subarachnoid Hemorrhage in a Patient with Multiple Brain Cavernomatosis. Case Report and Review of Literature

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