Intradural Extramedullary Capillary Hemangioma in the Upper Cervical Spine: First Report

Bouali, Sofiene; Maatar, Nidhal; Bouhoula, Asma; Abderrahmen, Khansa; Kallel, Jalel; Jemel, Hafedh

doi:10.1016/j.wneu.2016.04.131

Cited by 6 publications

(11 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…shows strong homogeneous enhancement with gadolinium contrast agent. [4,7,12] Neurinoma or meningioma can also show strong enhancement on MRI, so neurinoma without cystic change or necrosis cannot be easily differentiated from spinal CH. [7] The dural tail sign, considered a typical feature of meningioma, cannot completely rule out spinal CH because spinal intradural extramedullary CH can arise from the inner surface of the dura mater.…”

Section: Discussionmentioning

confidence: 99%

“…[8][9][10][11][12] Regarding to surgical treatment for spinal intradural extramedullary CH, laminectomy and tumor resection seem to be usually performed. [4] To the best of our knowledge, there has not been mentioned any case of spinal intradural extramedullary CH with coexistent spinal edema and syringomyelia successfully treated laminoplasty and tumor resection. [8][9][10]12,13] Here, we report a rare case of cervical intradural extramedullary CH accompanied by spinal edema and syringomyelia treated with laminoplasty and tumor resection.…”

Section: Introductionmentioning

confidence: 94%

“…[3][4][5][6] Radiculopathy or myelopathy can result from the occupation of the spinal canal space by spinal CH. [4,7] Spinal intradural extramedullary CH shows varying intensity on T1-and T2-weighted magnetic resonance imaging (MRI) but usually demonstrates strong homogeneous enhancement with gadolinium contrast agent. [4] Coexistent spinal edema or syringomyelia with spinal intradural extramedullary CH has been previously described; however, the reported cases are still limited.…”

Section: Introductionmentioning

confidence: 99%

“…[4,7] Spinal intradural extramedullary CH shows varying intensity on T1-and T2-weighted magnetic resonance imaging (MRI) but usually demonstrates strong homogeneous enhancement with gadolinium contrast agent. [4] Coexistent spinal edema or syringomyelia with spinal intradural extramedullary CH has been previously described; however, the reported cases are still limited. [8][9][10][11][12] Regarding to surgical treatment for spinal intradural extramedullary CH, laminectomy and tumor resection seem to be usually performed.…”

Section: Introductionmentioning

confidence: 99%

“…[1,2] Spinal intradural extramedullary CH has been previously reported, but this entity is still considered to be rare. [3][4][5][6] Radiculopathy or myelopathy can result from the occupation of the spinal canal space by spinal CH. [4,7] Spinal intradural extramedullary CH shows varying intensity on T1-and T2-weighted magnetic resonance imaging (MRI) but usually demonstrates strong homogeneous enhancement with gadolinium contrast agent.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Spinal intradural extramedullary capillary hemangioma with coexistent spinal edema and syringomyelia successfully treated by tumor removal and cervical laminoplasty

Takayama

Maki

2021

Asian J Neurosurg

View full text Add to dashboard Cite

Capillary hemangioma (CH) is usually found in pediatric patients and is located in soft tissue of the neck or head. As uncommon location of CH, spinal intradural extramedullary space has been reported; however, coexistent spinal edema or syringomyelia with spinal intradural extramedullary CH seems rare manifestations on preoperative magnetic resonance imaging. Laminectomy and tumor resection have been often performed for spinal intradural extramedullary CH. An 83-year-old man was referred to our hospital, complaining of nocturia and motor weakness of the lower extremities. Magnetic resonance imaging revealed a mass at the level of T1, which was homogeneously enhanced on gadolinium-enhanced T1-weighted images. The lesion was accompanied by spinal edema and syringomyelia. An intradural extramedullary tumor was first considered. We thought that the coexistent spinal edema and syringomyelia could have been caused by spinal stenosis. Preoperative angiography revealed that the mass was fed by the radicular artery of C5–C6. To improve the clinical symptoms of the patient, tumor removal and cervical laminoplasty were performed. The spinal edema and syringomyelia regressed postoperatively. The histopathological diagnosis was CH. This is the first reported case of cervical intradural extramedullary CH with spinal edema and syringomyelia successfully treated by cervical laminoplasty and tumor removal.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Spinal intradural extramedullary capillary hemangioma with coexistent spinal edema and syringomyelia successfully treated by tumor removal and cervical laminoplasty

Takayama

Maki

2021

Asian J Neurosurg

View full text Add to dashboard Cite

show abstract

Minimally invasive posterior paramedullary approach to the anterior craniocervical junction for intradural lesions using a non-expandable tubular retractor

Klingler

Volz

Lützen

et al. 2020

Clinical Neurology and Neurosurgery

View full text Add to dashboard Cite

A case report of lobular intradural extramedullary capillary hemangioma in a 14-year-old patient: resection and reconstruction

Johnson,

Espinosa,

Tavakoli

et al. 2024

J Spine Surg

View full text Add to dashboard Cite

Background Intradural, extramedullary capillary hemangiomas of the cauda equina are exceedingly rare malformations arising from the endothelial cells of the nervous system vasculature. Roughly 20 cases have been reported in the literature, with the youngest and only pediatric case being in a 17-year-old patient. We report the youngest case of intradural extramedullary capillary hemangioma of the cauda equina in a 14-year-old patient. Case Description A 14-year-old female presented with two-month history of low back pain with bilateral leg pain and numbness. Magnetic resonance imaging (MRI) revealed an L2 well-defined homogenous contrast-enhancing intradural, extramedullary mass causing severe spinal canal stenosis. Patient underwent laminoplasty for resection of an intradural tumor. Intraoperative hemostasis was readily achieved via early identification and coagulation of the predominate feeding vessel. Postoperatively, the patient awoke with no deficits and resolved leg pain. A 3-month postoperative MRI revealed no tumor recurrence and fully healed lamina. Conclusions Given the benign nature, the operative goal is complete excision of the tumor without damage to surrounding neural structures. Postoperatively the goal is relief of pain and improvement in neurologic function. To our knowledge we report the first case in which laminoplasty is utilized for the treatment of this pathology in a pediatric patient. Evidence for laminoplasty in this patient population is sparse and future studies are still needed. In any case, reconstruction of the surgical site in a manner that returns the patient’s normal anatomy should be strongly considered especially in younger patients.

show abstract

Intradural Extramedullary Capillary Hemangioma in the Upper Cervical Spine: First Report

Cited by 6 publications

References 24 publications

Spinal intradural extramedullary capillary hemangioma with coexistent spinal edema and syringomyelia successfully treated by tumor removal and cervical laminoplasty

Spinal intradural extramedullary capillary hemangioma with coexistent spinal edema and syringomyelia successfully treated by tumor removal and cervical laminoplasty

Minimally invasive posterior paramedullary approach to the anterior craniocervical junction for intradural lesions using a non-expandable tubular retractor

A case report of lobular intradural extramedullary capillary hemangioma in a 14-year-old patient: resection and reconstruction

Contact Info

Product

Resources

About