Primary spinal epidural cavernous hemangioma: clinical features and surgical outcome in 14 cases

Li, Teng-Yu; Xu, Yulun; Yang, Jun; Wang, James; Wang, Gui-Huai

doi:10.3171/2014.9.spine13901

Cited by 36 publications

(94 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our series adds 12 cases, which is a substantial addition to the existing literature. In our group, the age ranged from 25 to 73 years, with a mean age of 52.1 years, which accorded with the literature report (15,17). And besides, a mild female predilection was noted (female/male ratio of 1.4:1).…”

Section: Discussionsupporting

confidence: 89%

“…However, diffuse dural attachment associated with intervertebral foramen extension is impossible to resect completely. Thus, STR is acceptable to improve the neurologic function to avoid severe complications (17). Because of the excessive vascularity of CAs, en bloc resection was advocated and tumor biopsy should be avoided (17).…”

Section: Discussionmentioning

confidence: 99%

“…Thus, STR is acceptable to improve the neurologic function to avoid severe complications (17). Because of the excessive vascularity of CAs, en bloc resection was advocated and tumor biopsy should be avoided (17). We used bipolar coagulation to disrupt the abnormal proliferation of feeding arteries and draining veins sequentially.…”

Section: Discussionmentioning

confidence: 99%

“…Solitary epidural CAs not originating from the vertebral bone are relatively rare. With the aid of magnetic resonance imaging (MRI), solitary epidural CAs are being discovered in increasing numbers; nevertheless, most previous studies are case reports with an associated literature review and large series studies are very limited in the literature (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17). Because of the risk of spontaneous and intraoperative bleeding, solitary epidural CAs need to get neurosurgeons more attention.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Clinical characteristics and surgical outcomes of solitary spinal epidural cavernous angiomas

2018

View full text Add to dashboard Cite

Abstract. The majority of spinal cavernous angiomas (CAs) originate from the vertebral bodies with or without epidural space extension. Solitary epidural CAs are rare. In the present study, we retrospectively reviewed the records of 12 patients who underwent microsurgery for solitary spinal epidural CAs. All patients had performed pre-and postoperative magnetic resonance imaging. The patients were 7 females and 5 males with the mean age of 52.1 years. Two tumors were located in the cervicothoracic spine, nine in the thoracic spine and one in the lumbar spine, respectively. Solitary epidural CAs generally exhibited isointensity on T1-weighted images and hyperintesity on T2-weighted images. Contrast-enhanced T1-weighted images showed homogeneous markedly enhancement. Gross total resection (GTR) was achieved in 11 cases, and subtotal resection (STR) was achieved in 1 case. During an average follow up of 35.9 months, neurological function was improved in 11 patients and in one patient, preoperative status was maintained. No patient experienced tumor recurrence. These findings suggest that CAs should be considered in the differential diagnosis of spinal epidural lesions. Early surgery is advocated to prevent irreversible neurological deficits. When aggravated by a large amount of acute hemorrhage, neurological deterioration is usually acute and prompt surgical decompression is the optimal choice. Because of the excessive vascularity of CAs, en bloc resection is recommended. In addition, a good clinical outcome after GTR can be expected, and the risk of long-term recurrence is low.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Clinical characteristics and surgical outcomes of solitary spinal epidural cavernous angiomas

2018

View full text Add to dashboard Cite

show abstract

“…All patients were symptomatic before surgery, and a posterior approach in a lateral position under general anesthesia was chosen [11,12]. The preoperative decision was planned by conventional posterior approach without thoracoscope or assistance from the cardiothoracic team.…”

Section: Surgical Details Intraoperative Findingsmentioning

confidence: 99%

Spinal dumbbell-shaped epidural cavernous hemangioma (CM): report of nine surgical cases and literature review

Zhang

Yang

et al. 2018

Chin Neurosurg Jl

Self Cite

View full text Add to dashboard Cite

Background: Spinal dumbbell-shaped epidural cavernous malformation (CM) is a rare, hypervascular entity frequently misdiagnosed for other lesions, leading to unexpected intraoperative bleeding and suboptimal resection. Our study aims to elucidate the demographics, management strategy, and outcome of this vascular disease. Methods: Retrospective review of patients seen in Beijing Tiantan Hospital with symptomatic dumbbell-shaped epidural CM from 2008 to 2013. All lesions were pathologically confirmed after resection. The clinical manifestations, radiographic features, and treatment modalities of these cases were analyzed. Results: We included 9 consecutive patients. Average age was 58 ± 12 years (range: 34-79 years), with 66.7% male. Locations of the CMs were: thoracic (n = 7, 77.8%), cervical (n = 1, 11.1%), and cervicothoracic junction (n = 1, 11.1%). Only one case presented with acute manifestations while others experienced chronic progressive spinal cord symptoms. The initial clinical diagnoses were: schwannoma (n = 6, 66.7%), cavernous hemangioma (CM) (n = 1, 11. 1%), meningioma (n = 1, 11.1%), and angioma (n = 1, 11.1%). Total resection was achieved in six patients (66.7%), and partial resection in the other three patients (33.3%). Average intraoperative blood loss was 400 ± 300 ml (range: 100-1000 ml). During an average follow-up of 71 ± 21 months (range: 29-94 months), excellent outcome was achieved in seven cases (77.8%), one partially improved (11.1%), and one deteriorated (11.1%). No patients experienced recurrence of symptoms. Conclusions: Spinal dumbbell-shaped epidural CM is a benign vascular malformation that should be differentiated from other dumbbell-shaped lesions. Accurate preoperative diagnose is challenging as no specific radiographic marker has been established. Total surgical resection should be recommended.

show abstract

Thoracic dumbbell giant schwannoma in a young woman: A case report

Jun,

Bing,

Qing Song

2023

Medicine Advances

View full text Add to dashboard Cite

Schwannomas, which are benign, are one of the most common intraspinal tumors, accounting for 29% of primary spinal tumors. Schwannomas have several other names, including neurinoma, neurilemmoma, and neuroma. They originate from Schwann cells, which were first described by Theodor Schwann, a German physiologist, biologist, and histologist. Here, we present a patient with a giant, thoracic, dumbbell‐shaped schwannoma. This benign tumor protruded into the subcutaneous fascial layer, compressing the pleura and the left side of the thoracic spinal cord. Additionally, some of the spinous processes and laminae of the thoracic vertebrae were missing. Most patients with this type of tumor are asymptomatic; however, up to 11.7% of patients have symptoms that depend on the size and location of the tumor. Magnetic resonance imaging can accurately determine the extent of the tumor and any intraspinal component and is thus helpful in selecting the optimal surgical procedure.

show abstract

Primary spinal epidural cavernous hemangioma: clinical features and surgical outcome in 14 cases

Cited by 36 publications

References 16 publications

Clinical characteristics and surgical outcomes of solitary spinal epidural cavernous angiomas

Clinical characteristics and surgical outcomes of solitary spinal epidural cavernous angiomas

Spinal dumbbell-shaped epidural cavernous hemangioma (CM): report of nine surgical cases and literature review

Thoracic dumbbell giant schwannoma in a young woman: A case report

Contact Info

Product

Resources

About