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[Cauda equina cavernous hemangioma associated with hydrocephalus--case report]
K Makino1, H Takamura, S Gotoh
1Department of Neurosurgery, Asahikawa Red Cross Hospital, Japan.
No to Shinkei = Brain and Nerve
|August 1, 1995
Summary
A rare spinal cavernous hemangioma in the cauda equina caused hydrocephalus and headaches. Surgical removal of the tumor resolved the patient's symptoms and normalized ventricle size.
Area of Science:
- Neurosurgery
- Neuropathology
Background:
- Spinal cavernous hemangiomas are rare vascular malformations.
- Cavernous hemangiomas in the cauda equina are exceptionally uncommon.
Observation:
- A 67-year-old male with Parkinson's disease presented with severe headaches, nausea, vomiting, and gait instability.
- Head imaging revealed ventricular enlargement suggestive of hydrocephalus, but no obstructing mass.
- Lumbar puncture showed bloody cerebrospinal fluid under increased pressure.
Findings:
- Spinal magnetic resonance imaging identified an intradural tumor at L2.
- Surgical resection successfully removed a 1 cm cavernous hemangioma from the cauda equina.
- Pathological examination confirmed the diagnosis of cavernous hemangioma.
Implications:
- This case highlights the potential for spinal cavernous hemangiomas to cause hydrocephalus.
- Surgical excision is an effective treatment for symptomatic cauda equina cavernous hemangiomas.
- Early diagnosis and treatment can lead to significant symptom improvement.