Cervical epidural lymphangioma presenting as a hemorrhagic cyst: a case report
Seung Choul Lee1, Sung Gyu Moon, Na Ra Kim
1Department of Radiology, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
Study Design:
A case report.
Objective:
We report a case of epidural lymphangioma in the cervical spine, and it manifested as a hemorrhagic cyst.
Summary Of Background Data:
Intraspinal lymphangioma is an uncommon tumor with only a few cases reported in the literature. Epidural lymphangioma presenting as a hemorrhagic cyst is extremely rare.
Methods:
The patient chosen was a 43-year-old woman with the chief complaint of neck pain and right upper extremity numbness of 2-month duration.
Results:
Cervical spine magnetic resonance (MR) imaging revealed an epidural cystic mass extending to the right C6-C7 neural foramen. The mass showed fluid-fluid levels on T2-weighted image and high-signal intensity on diffusion-weighted image. Surgical resection and histologic analysis confirmed the diagnosis of epidural lymphangioma with internal hemorrhage.
Conclusion:
Epidural lymphangioma is a rare benign tumor. However, it should be included in the differential diagnosis of hemorrhagic cystic mass in the epidural space, which presented with fluid-fluid levels on MR imaging and high-signal intensity on diffusion weighted imaging.
