Thoracic Epidural Cavernous Hemangioma

Shivaprasad, Sheetal; Shroff, Girish S.; Campbell, Gerald A.

doi:10.1001/2013.jamaneurol.188

Cited by 6 publications

(7 citation statements)

References 5 publications

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“…En-bloc resection after coagulation is preferred 4,6,14) . As in our case, most patients show a good prognosis and an improvement in their symptoms after surgical resection of a cavernous hemangioma 1,4,7,10,12) .…”

Section: Discussionsupporting

confidence: 79%

“…Cavernous hemangiomas may occur in any part of the body 8) . They mainly appear in the thoracic spine in an acute manner as the cord or conus are compressed 2,3,5,12,14) . Occurrence in the lumbar spine is very rare because nerve roots can tolerate compression better than the spinal cord; thus, it presents a chronic clinical course 3,7) .…”

Section: Discussionmentioning

confidence: 99%

“…Whereas lymphoma presents as isointense on T2-WI. In the case of angiolipoma, hyperintensity on T1-WI can be observed owing to its high fat content 1,[4][5][6][7][8][9][10][11][12][13][14] . Cavernous hemangiomas have a tendency to bleed and grow, so early surgical excision is recommended as soon as possible 14) .…”

Section: Discussionmentioning

confidence: 99%

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Pure Spinal Epidural Cavernous Hemangioma: A Case Report

Lim

Hur

Ahn

et al. 2016

Nerve

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Pure spinal epidural cavernous hemangioma is difficult to differentiate from ruptured disc material and is rarely reported. It is usually reported in thoracic spine. The patient was a 73-year-old man suffering from chronic pain in the L5 dermatome area in his left leg. Computed tomography scans showed a slightly high-signal intensity epidural mass in lateral recess at the L4 vertebral body. This lesion showed hyper-intensity on T2-weighted magnetic resonance imaging (MRI) and enhancement on T1-weighted MRI with gadolinium enhancement. This mass-like lesion was surgically removed and the patient's symptoms improved without complication. Here, we present a case of pure spinal epidural cavernous hemangioma, which should be included in the differential diagnosis of spinal epidural tumors. Early surgical treatment is important.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

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Pure Spinal Epidural Cavernous Hemangioma: A Case Report

Lim

Hur

Ahn

et al. 2016

Nerve

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“…As for the second ones, whether or not having an epidural extension, they are instead well vascularised with well individualised arterial afferents on angiography [10]. They often develop at the thoracic level, with a predilection for the T2-T6 segment and extend over two or more vertebral segments [11, 12]. The thoracic region has a poor vascular supply, resulting from a poor anastomotic network, in contrast to the regions above and below which are highly vascularised.…”

Section: Discussionmentioning

confidence: 99%

Epidural cavernous haemangioma during pregnancy: a case report and a literature review

Bennis¹,

Hafiane²,

Benouhoud³

et al. 2019

Pan Afr Med J

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Cavernous haemangiomas are benign vascular malformations that can locate in the central nervous system. The epidural spinal location remains unusual. Pregnancy is known to be a precipitating factor. The aim of this study is to review general aspects of these lesions and specific facts about their relationship to pregnancy. A 32-year-old full-term pregnant woman is managed during early labor for a progressive spinal cord compression syndrome. After delivery, exploration by a lumbar MRI found an epidural vascular dorsal mass. Surgical exploration and histopathological examination confirmed the diagnosis of epidural cavernous haemangioma. The patient achieved complete recovery after 1 month. Spinal cavernous haemangiomas are rare malformations. Specific mechanisms seems to be involved in their growth during pregnancy. Although clinical and radiological presentation are spectacular and misleading, the prognosis is generally good, and urgent surgical treatment during pregnancy is usually not indicated.

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“…It has been reported that cavernous hemagnioma developed purely at the spinal epidural space accounts for about 4% or less than that of the other tumors developed at the spinal epidural space and also reported about 1-2% of the cavernous hemangioma developed at the spine 3 4 23 25 27) . Therefore, most published literatures about epidural cavernous hemangioma had to be case reports 1 12 13 18 20 22 24) .…”

Section: Discussionmentioning

confidence: 99%

Thoracic Extradural Cavernous Hemangioma Mimicking a Dumbbell-Shaped Tumor

Jeong

Choi

Seong

et al. 2015

J Korean Neurosurg Soc

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Dumbbell-shaped spinal extradural cavernous hemangioma is rare. The differential diagnosis of dumbbell-shaped spinal tumors based on magnetic resonance imaging includes schwannoma and lymphoma. Here, we report a dumbbell-shaped spinal extradural cavernous hemangioma with intrathoracic growth on T2-3 in a 64-year-old man complaining of right side infrascapular area back pain with no neurologic deficit. The cavernous hemangioma was resected through combined video-assisted thoracoscopy and laminectomy without a fusion procedure. The patient had tolerable operative wound pain with no neurologic deficit after surgery. Based on magnetic resonance imaging findings and a review of the literature, we discuss cavernous hemangioma among the differential diagnosis of paravertebral dumbbell-shaped spinal tumors and the importance of complete resection.

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Thoracic Epidural Cavernous Hemangioma

Cited by 6 publications

References 5 publications

Pure Spinal Epidural Cavernous Hemangioma: A Case Report

Pure Spinal Epidural Cavernous Hemangioma: A Case Report

Epidural cavernous haemangioma during pregnancy: a case report and a literature review

Thoracic Extradural Cavernous Hemangioma Mimicking a Dumbbell-Shaped Tumor

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