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Posttraumatic thoracic epidural capillary hemangioma - A rare case report
G Sudhir1, Vignesh Jayabalan1, T H Manohar1
1Department of Spine Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
Surgical Neurology International
|August 6, 2020
Summary
Capillary hemangiomas are rare epidural tumors. Early surgical removal of these benign vascular lesions is crucial to prevent permanent neurological deficits.
Area of Science:
- Neurology
- Neurosurgery
- Vascular Surgery
Background:
- Capillary hemangiomas are rare benign vascular tumors.
- They are typically found in subcutaneous tissues, with vertebral bodies being the most common origin.
- Isolated thoracic epidural space lesions are infrequently reported, particularly after trauma.
Observation:
- A 63-year-old male presented with progressive bilateral lower limb weakness and hyperreflexia.
- He had a history of T7 fracture treated surgically.
- MRI revealed a T6-T8 epidural lesion with severe spinal cord compression.
Findings:
- The epidural lesion was surgically removed en bloc.
- Histopathological examination confirmed a capillary hemangioma.
- The patient's neurological function fully recovered within 3 months post-surgery.
Implications:
- Capillary hemangiomas should be considered in the differential diagnosis of spinal epidural space-occupying lesions.
- Prompt surgical intervention is necessary to avert progressive and irreversible neurological damage.
- This case highlights the importance of considering rare etiologies for spinal cord compression.
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