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[Spinal epidural cavernous hemangioma. Case report].

K Kurose, H Kishi, T Sadatoh

    Neurologia Medico-Chirurgica
    |June 1, 1989
    PubMed
    Summary
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    Spinal epidural cavernous hemangiomas are rare tumors. This case report details MRI findings and successful surgical removal of a thoracic vertebral cavernous hemangioma.

    Area of Science:

    • Neurosurgery
    • Radiology
    • Pathology

    Background:

    • Spinal epidural cavernous hemangiomas are exceptionally rare, with only 18 cases documented.
    • This report presents a unique case of a spinal epidural cavernous hemangioma in a 38-year-old male.

    Observation:

    • The patient presented with progressive sensory symptoms, including foot numbness and abdominal hypalgesia.
    • Neurological examination revealed hyper-reflexia and hypalgesia below the T7 dermatome without motor weakness.

    Findings:

    • Magnetic resonance imaging (MRI) identified an extradural tumor at T7 with vertebral body erosion.
    • The tumor exhibited characteristic low signal intensity on T1-weighted and high signal intensity on T2-weighted MRI sequences.
    • Histological examination confirmed the diagnosis of cavernous hemangioma.

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    Implications:

    • Surgical laminectomy and tumor removal led to significant symptom improvement.
    • Differentiating spinal epidural cavernous hemangiomas from neurinomas solely on MRI can be challenging.
    • This case contributes valuable MRI findings to the limited literature on spinal epidural cavernous hemangiomas.