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Pure epidural spinal cavernous haemangioma.

Ragavan Manoharan¹, Jonathon Parkinson¹

¹Department of Neurosurgery, Royal North Shore Hospital, St Leonards, New South Wales, Australia.

Surgical Neurology International

|November 10, 2021

Summary

Spinal cavernous hemangiomas (SCH) are rare epidural lesions. This case report details a multifocal SCH in a 72-year-old male, highlighting diagnosis and successful surgical management.

Keywords:

Cavernous hemangioma Epidural Myelopathy Spinal Surgical excision

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Area of Science:

Neurology
Neurosurgery
Pathology

Background:

Spinal cavernous hemangiomas (SCH) are rare, comprising only 4% of spinal epidural lesions.
A literature review identified 175 cases of SCH reported during the magnetic resonance imaging era.
This study contributes an additional case, potentially representing a multifocal presentation of SCH.

Observation:

A 72-year-old male presented with progressive paraparesis due to a T5/T6 dorsolateral extradural mass.
Histological examination confirmed the T5/T6 lesion as a spinal cavernous hemangioma (SCH).
A second, asymptomatic lesion was identified at the left C7/T1 foramen, suspected to be a multifocal SCH.

Findings:

Surgical excision of the symptomatic T5/T6 epidural SCH resulted in complete neurological recovery within 2 months.
The presence of a second, asymptomatic lesion suggests the possibility of multifocal spinal cavernous hemangiomas.
This case expands the understanding of SCH presentation and management.

Implications:

Early diagnosis and surgical intervention are crucial for managing symptomatic spinal cavernous hemangiomas.
The potential for multifocal SCH warrants thorough spinal imaging in affected patients.
This case underscores the importance of considering rare spinal tumors in the differential diagnosis of extradural lesions.