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Dorsal Spinal Epidural Cavernous Angioma; A Case Report
Girish Krishna Joshi1, K N Krishna1, Dilip Gopal Krishna1
1Department of Neurosurgery, Apollo Specialty Hospital, Bengaluru, Karnataka, India.
Asian Journal of Neurosurgery
|July 2, 2021
Summary
Spinal cavernous angiomas are rare vascular malformations. This case highlights a dorsal spinal extradural cavernous angioma, successfully treated with surgery, offering insights into this uncommon condition.
Area of Science:
- Neurology
- Neurosurgery
- Vascular Malformations
Background:
- Spinal cavernous angiomas are vascular malformations composed of closely clustered endothelial cells.
- While common in the vertebral body and less so intradurally, they are exceptionally rare in the extradural and extra-osseous spinal regions, with fewer than 100 reported cases.
Observation:
- A 52-year-old male presented with back pain and gait disturbance.
- Magnetic resonance imaging revealed a homogeneously enhancing D7-D8 thoracic extradural spinal lesion.
Findings:
- The patient underwent D7-D8 hemilaminectomy and tumor decompression for a highly vascular, dura-adherent extradural cavernous angioma.
- Complete surgical removal resulted in full recovery with no recurrence at 2-year follow-up; adjuvant radiotherapy was not administered.
Implications:
- This case underscores the rarity and successful surgical management of spinal epidural cavernous angiomas.
- Further literature review provides valuable data on clinical presentation, imaging characteristics, and patient outcomes for this infrequent spinal lesion.
