Intramedullary Capillary Hemangioma of the Thoracic Spine: Case Report and Review of the Literature

Kasukurthi, Rahul; Ray, Wilson Z.; Blackburn, Spiros; Lusis, Eriks A.; Santiago, Paul

doi:10.4081/rt.2009.e10

Cited by 28 publications

(33 citation statements)

References 19 publications

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“…Although there are no previous reports on venous angiomas inside the cord, such as in our patient, reports on cavernous angiomas showed that approximately 50% of the patients presented with progressive deficits while the remaining presented with acute or recurrent symptomatology [11]. Progressive neurological deterioration can be confused with demyelinating pathologies, myelitis, intramedullary tumors and spinal arteriovenous malformations [11,12]. The co-existed neurofibromatosis (NF-1) with the big café-au-lait spots and the advanced scoliosis that increased from initially 24° to 44° made early diagnosis not possible although one should expect that such an increase should raise natural suspicions!…”

Section: Discussionmentioning

confidence: 52%

“…The existence of cryptic veins together with small cavernous angiomas has been reported in the literature [10]. Although there are no previous reports on venous angiomas inside the cord, such as in our patient, reports on cavernous angiomas showed that approximately 50% of the patients presented with progressive deficits while the remaining presented with acute or recurrent symptomatology [11]. Progressive neurological deterioration can be confused with demyelinating pathologies, myelitis, intramedullary tumors and spinal arteriovenous malformations [11,12].…”

Section: Discussionmentioning

confidence: 58%

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Thoracic Spinal Cord Angiomatous Malformation Mimicking Intramedullary Tumor, Associated With Neurofibromatosis I (NF-1) And Advanced Scoliosis

Kourtopoulos¹

2015

JNSK

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Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 58%

Thoracic Spinal Cord Angiomatous Malformation Mimicking Intramedullary Tumor, Associated With Neurofibromatosis I (NF-1) And Advanced Scoliosis

Kourtopoulos¹

2015

JNSK

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“…advised to avoid massive bleeding intraoperatively, which has been advocated in the previously published series. 3,7,8 In our cases laminectomy was performed, and the lesion surface was easily found intraoperatively. Most of the lesions showed no adhesion to the spinal cord, and complete removal was achieved easily using microsurgical techniques.…”

Section: Discussionmentioning

confidence: 99%

Intramedullary spinal capillary hemangiomas: clinical features and surgical outcomes

Deng²,

Yang³

et al. 2013

SPI

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Object Intramedullary capillary hemangiomas are exceedingly rare lesions in the spinal cord, and have been previously reported in the literature as case reports. The authors review their experience in 5 surgically treated patients with intramedullary capillary hemangiomas and discuss the clinical features, radiological findings, and surgical outcomes. Methods Clinical and imaging data of 5 patients with intramedullary spinal capillary hemangiomas treated at a single institution were retrospectively analyzed. Results There were 4 men and 1 woman, and their ages ranged from 18 to 63 years (mean 47.2 years). The thoracic cord was affected in 4 patients, and the cervicothoracic cord in 1 patient. Four patients underwent a gross-total resection. One patient initially underwent a subtotal removal and then underwent a second surgery due to enlargement of the residual lesion. Long-term neurological function was improved in all patients and MRI showed no tumor recurrence. Conclusions Capillary hemangiomas should be considered in the differential diagnosis of intramedullary spinal vascular lesions. Complete resection is the treatment of choice for these lesions. When total resection cannot be achieved, subtotal or even partial removal of the tumor is advised and repeat removal of the lesion is indicated when residual tumor regrowth is associated with neurological deterioration.

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“…CH as intradural extramedullary (IDEM) tumor in spine is extremely rare and difficult to differentiate with other common pathologies10,21). Despite of the low incidence, prompt diagnosis and complete resection area important, because acute hemorrhage leading to sudden neurologic deterioration can be occurred17).…”

Section: Introductionmentioning

confidence: 99%

Intradural Extramedullary Capillary Hemangioma In the Upper Thoracic Spine with Simultaneous Extensive Arachnoiditis

2017

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Capillary hemangiomas are common benign vascular tumors on skin and soft tissues, but developing as an intradural and extramedullary (IDEM) tumor in spine is extremely rare. In this report, we present IDEM tumor compressing thoracic cord in T2–3 level with extensive arachnoiditis below the tumor level in a 60-year-old man. The lesion was removed and histological diagnosis was capillary hemangioma. Prompt diagnosis and resection are important to avoid neurological deterioration from acute hemorrhagic condition. Simultaneous arachnoiditis may be originated from old subarachnoid hemorrhage associated tumor before diagnosis, and we suggest it as a helpful diagnostic feature to suspect vascular tumors such as capillary hemangioma.

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Intramedullary Capillary Hemangioma of the Thoracic Spine: Case Report and Review of the Literature

Cited by 28 publications

References 19 publications

Thoracic Spinal Cord Angiomatous Malformation Mimicking Intramedullary Tumor, Associated With Neurofibromatosis I (NF-1) And Advanced Scoliosis

Thoracic Spinal Cord Angiomatous Malformation Mimicking Intramedullary Tumor, Associated With Neurofibromatosis I (NF-1) And Advanced Scoliosis

Intramedullary spinal capillary hemangiomas: clinical features and surgical outcomes

Intradural Extramedullary Capillary Hemangioma In the Upper Thoracic Spine with Simultaneous Extensive Arachnoiditis

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