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Spinal cavernous angioma producing subarachnoid hemorrhage. Case report
F Marconi1, G Parenti, V Giorgetti
1Institute of Neurosurgery, University of Pisa, Italy.
Journal of Neurosurgical Sciences
|March 1, 1995
Summary
Subarachnoid hemorrhage from spinal cavernous angiomas is rare, often presenting with severe back pain and meningism. Microsurgical removal of the T9 intramedullary lesion resulted in complete functional recovery.
Area of Science:
- Neurology
- Neurosurgery
- Vascular Malformations
Background:
- Subarachnoid hemorrhage (SAH) is typically associated with arteriovenous malformations (AVMs) in spinal lesions.
- Bleeding from spinal cavernous angiomas is an exceedingly rare cause of SAH.
Observation:
- A rare case of SAH originating from an intramedullary cavernous angioma at the T9 spinal level was identified.
- Clinical presentation included severe back pain, radicular symptoms, and signs of meningism (Fincher's syndrome).
- Magnetic resonance imaging (MRI) provided accurate diagnosis for surgical intervention.
Findings:
- The patient underwent T9-T10 laminectomy and total microsurgical excision of the T9 intramedullary cavernous angioma.
- The surgical procedure resulted in complete functional recovery for the patient.
Implications:
- This case highlights the importance of considering rare vascular malformations in the differential diagnosis of spinal SAH.
- Early and accurate diagnosis via MRI is crucial for successful surgical management and patient outcomes.
- Microsurgical techniques can achieve total removal of intramedullary cavernous angiomas, leading to favorable prognoses.