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Spinal cavernous and capillary hemangiomas in adults
Ranjith Babu1, Timothy R Owens, Isaac O Karikari
1Division of Neurosurgery, Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA.
Spine
|January 29, 2013
Summary
Surgical resection of spinal hemangiomas yields good outcomes, but intramedullary lesions have poorer neurological recovery compared to intradural extramedullary and vertebral types.
Area of Science:
- Neurosurgery
- Neurology
- Oncology
Background:
- Spinal hemangiomas are rare tumors, often asymptomatic but can cause neurological deficits.
- Intramedullary hemangiomas constitute approximately 5% of spinal cord lesions.
- Limited comparative data exists on surgical outcomes for spinal hemangiomas based on location.
Purpose of the Study:
- To compare neurological outcomes following surgical resection of intramedullary, intradural extramedullary, and extradural spinal hemangiomas.
- To identify factors influencing recovery after hemangioma surgery.
Main Methods:
- Retrospective cohort analysis of 19 patients treated between 1999 and 2012.
- Data collection included patient demographics, clinical, procedural, and pathological information.
- Neurological outcomes assessed using the Modified McCormick Scale (MMS).
Main Results:
- Overall, 73.7% of patients showed improved neurological function post-surgery.
- Intramedullary hemangiomas had lower improvement rates (50%) and higher rates of worsened outcomes (25%) compared to other types.
- Intradural extramedullary and vertebral hemangiomas demonstrated higher recovery rates (80% and 100%, respectively).
Conclusions:
- Patients with spinal hemangiomas present similarly but have varying surgical outcomes based on lesion location.
- Intramedullary hemangiomas are associated with less favorable neurological improvement after resection.
- Surgical intervention benefits are less pronounced for intramedullary lesions compared to intradural extramedullary and vertebral hemangiomas.
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