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Published on: April 4, 2012
Intramedullary Cavernous Hemangioma with Calcification of Spinal Cord
Min Gyu Kang1, Kyung Hyun Kim1, Jeong Yoon Park1
1Department of Neurosurgery, Gangnam Severance Hospital, Yonsei University School of Medicine, Seoul, Republic of Korea.
Insights
This study reports a rare case of spinal cord hemangioma calcificans, a rare variant of cavernous hemangioma. Surgical intervention led to symptom recovery, highlighting successful management of this unusual spinal cord tumor.
Area of Science:
- Neurology
- Neurosurgery
- Oncology
Background:
- A 61-year-old male presented with a 3-month history of myelopathy and back pain.
- Symptoms suggested a spinal cord lesion requiring investigation.
Observation:
- Magnetic resonance imaging (MRI) and computed tomography (CT) revealed a 15-mm hemangioma with calcification.
- Intraoperative findings described a hard mass with ill-defined borders, located dorsally on the spinal cord.
Findings:
- Surgical removal of the intramedullary cavernous hemangioma was performed.
- Transient decrease in motor evoked potentials during surgery fully recovered.
- Postoperative recovery was successful with no severe neurological deficits.
Implications:
- This case highlights the rare occurrence of hemangioma calcificans within the spinal cord.
- Successful surgical management of this rare spinal tumor is demonstrated.
- Further research into spinal hemangioma variants may improve diagnostic and therapeutic strategies.
Background:
A 61-year-old man was admitted complaining of myelopathy and back pain for 3 months.
Case Description:
A 15-mm hemangioma with calcification was noted on magnetic resonance imaging and computed tomography. Intraoperatively, the mass was hard with ill-defined demarcation. The cranial portion of the mass was brown and dark gray on the dorsal cord. During surgery, motor evoked potentials transiently decreased, but they fully recovered at the end of surgery. After surgery, the patient's symptoms recovered without severe neurologic deficit.
Conclusions:
Hemangioma calcificans, a variant of cavernous hemangioma with full calcification and ossification, is an extremely rare disease in the spine and brain. Here we report a rare case of intramedullary cavernous hemangioma with calcification of the spinal cord.
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