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Spinal lobular capillary hemangioma with an intramedullary component
Clinical Neuropathology
|August 9, 2013
Summary
Spinal cord capillary hemangiomas are rare benign vascular tumors. This case highlights a lobular capillary hemangioma presenting with both extra- and intramedullary components, expanding the differential diagnosis for spinal cord lesions.
Area of Science:
- Neurology
- Pathology
- Neurosurgery
Background:
- Capillary hemangiomas are typically benign vascular neoplasms.
- They rarely involve the spinal cord, usually presenting as extramedullary lesions.
Observation:
- A 59-year-old male presented with a 7-month history of progressive neurological deficits including numbness and pain.
- Magnetic resonance imaging revealed a thoracic intradural lesion with both extramedullary and apparent intramedullary components.
- Surgical exploration identified a highly vascular tumor adherent to the spinal cord.
Findings:
- Pathological diagnosis confirmed a lobular capillary hemangioma.
- The tumor exhibited both extramedullary and intramedullary components within the spinal cord.
Implications:
- This case underscores the importance of considering capillary hemangiomas in the differential diagnosis of spinal cord tumors.
- The presence of intramedullary components, though rare, necessitates thorough diagnostic evaluation and surgical consideration.
