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[Spinal epidural dumbbell-shaped cavernous angioma].

K Franz, F Lesoin, D Leys

Revue Neurologique

|January 1, 1987

Summary

A rare spinal epidural cavernous angioma caused back pain and leg weakness in a young man. Surgical removal led to complete recovery, highlighting the importance of considering rare diagnoses.

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Area of Science:

Neurology
Neurosurgery
Radiology

Background:

Spinal epidural masses can present with diverse neurological deficits.
Dumbbell-shaped masses pose diagnostic challenges due to their intra- and extralevel extension.

Observation:

A 23-year-old male presented with a 2-month history of back pain, progressing to spastic paraplegia and lower limb hypesthesia.
Myelography-CT revealed a dumbbell-shaped spinal epidural mass extending through the intervertebral foramen.

Findings:

Pathological examination confirmed the mass as a cavernous angioma.
Primary spinal epidural cavernous angiomas are exceptionally rare, with prior cases misdiagnosed as spinal neurinomas based on imaging.

Implications:

This case underscores the importance of considering rare vascular malformations in the differential diagnosis of spinal epidural tumors.
Prompt surgical intervention for symptomatic spinal epidural cavernous angiomas can result in significant neurological recovery.

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