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Intramedullary cavernous angiomas.

J Zentner¹, W Hassler, J Gawehn

¹Department of Neurosurgery, University of Tübingen, Medical School, Federal Republic of Germany.

Surgical Neurology

|January 1, 1989

Summary

This summary is machine-generated.

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Magnetic resonance imaging aids in diagnosing spinal cord cavernous angiomas, enabling surgical planning. Total tumor removal is feasible but may cause temporary neurological deficits.

Area of Science:

Neurosurgery
Neurology
Radiology

Background:

Intramedullary cavernous angiomas are rare vascular malformations of the spinal cord.
These lesions can cause progressive myelopathy, leading to significant neurological deficits.

Observation:

Two patients with histologically confirmed intramedullary cavernous angiomas at C3 and D5-6 presented with progressive myelopathy.
Symptoms included intermittent neurological improvement and decline.

Findings:

Magnetic resonance imaging (MRI) using spin echo, fast imaging, and phase display techniques enabled accurate preoperative diagnosis.
Spinal angiography was not helpful in diagnosing these cases.
Surgical laminectomy and total tumor removal were performed, resulting in temporary neurological deficits.

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Implications:

MRI is a crucial diagnostic tool for intramedullary cavernous angiomas.
Advanced MRI techniques are essential for surgical planning and strategy in managing these spinal cord vascular malformations.