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Spinal Hemangiopericytoma Which Needed Intraoperative Embolization due to Unexpected Bleeding
Chang-Hyun Lee1, Ki-Jeong Kim, Tae-Ahn Jahng
1Department of Neurosurgery, Spine Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
Journal of Korean Neurosurgical Society
|November 27, 2013
Summary
Spinal hemangiopericytoma is a rare tumor causing significant surgical bleeding. Intraoperative angiography and embolization effectively managed a challenging case, enabling complete tumor removal.
Area of Science:
- Neurosurgery
- Oncology
- Radiology
Background:
- Spinal intradural hemangiopericytoma is an exceptionally rare tumor.
- Characterized by substantial surgical bleeding, recurrence, and metastasis.
- Definitive radiologic diagnostic criteria remain elusive.
Observation:
- A 21-year-old male presented with progressive neck pain and hand paresthesia.
- MRI revealed a ventral intradural mass at C1-2.
- Surgical resection was complicated by unexpected, severe bleeding due to tumor hypervascularity.
Findings:
- The flesh-red tumor exhibited significant intraoperative bleeding.
- Complete tumor removal was achieved after intraoperative spinal angiography and embolization.
- Pathological diagnosis confirmed hemangiopericytoma.
Implications:
- Unexpected intraoperative bleeding from a flesh-red tumor suggests hemangiopericytoma.
- Intraoperative angiography and embolization are viable options for managing difficult-to-control spinal tumors.
- This case highlights a successful management strategy for a rare and challenging spinal tumor.
