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Dorsal spinal epidural cavernous hemangioma
A 61-year-old female patient presented with diffuse pain in the dorsal region of the back of 3 months duration. The magnetic resonance imaging showed an extramedullary, extradural space occupative lesion on the right side of the spinal canal from D5 to D7 vertebral levels. The mass was well marginat...
Autores principales: | , , , |
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Formato: | Texto |
Lenguaje: | English |
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Medknow Publications
2010
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3075829/ https://www.ncbi.nlm.nih.gov/pubmed/21572634 http://dx.doi.org/10.4103/0974-8237.77677 |
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author | Sanghvi, Darshana Munshi, Mihir Kulkarni, Bijal Kumar, Abhaya |
author_facet | Sanghvi, Darshana Munshi, Mihir Kulkarni, Bijal Kumar, Abhaya |
author_sort | Sanghvi, Darshana |
collection | PubMed |
description | A 61-year-old female patient presented with diffuse pain in the dorsal region of the back of 3 months duration. The magnetic resonance imaging showed an extramedullary, extradural space occupative lesion on the right side of the spinal canal from D5 to D7 vertebral levels. The mass was well marginated and there was no bone involvement. Compression of the adjacent thecal sac was observed, with displacement to the left side. Radiological differential diagnosis included nerve sheath tumor and meningioma. The patient underwent D6 hemilaminectomy under general anesthesia. Intraoperatively, the tumor was purely extradural in location with mild extension into the right foramina. No attachment to the nerves or dura was found. Total excision of the extradural compressing mass was possible as there were preserved planes all around. Histopathology revealed cavernous hemangioma. As illustrated in our case, purely epidural hemangiomas, although uncommon, ought to be considered in the differential diagnosis of spinal epidural soft tissue masses. Findings that may help to differentiate this lesion from the ubiquitous disk prolapse, more common meningiomas and nerve sheath tumors are its ovoid shape, uniform T2 hyperintense signal and lack of anatomic connection with the neighboring intervertebral disk or the exiting nerve root. Entirely extradural lesions with no bone involvement are rare and represent about 12% of all intraspinal hemangiomas. |
format | Text |
id | pubmed-3075829 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-30758292011-05-13 Dorsal spinal epidural cavernous hemangioma Sanghvi, Darshana Munshi, Mihir Kulkarni, Bijal Kumar, Abhaya J Craniovertebr Junction Spine Case Report A 61-year-old female patient presented with diffuse pain in the dorsal region of the back of 3 months duration. The magnetic resonance imaging showed an extramedullary, extradural space occupative lesion on the right side of the spinal canal from D5 to D7 vertebral levels. The mass was well marginated and there was no bone involvement. Compression of the adjacent thecal sac was observed, with displacement to the left side. Radiological differential diagnosis included nerve sheath tumor and meningioma. The patient underwent D6 hemilaminectomy under general anesthesia. Intraoperatively, the tumor was purely extradural in location with mild extension into the right foramina. No attachment to the nerves or dura was found. Total excision of the extradural compressing mass was possible as there were preserved planes all around. Histopathology revealed cavernous hemangioma. As illustrated in our case, purely epidural hemangiomas, although uncommon, ought to be considered in the differential diagnosis of spinal epidural soft tissue masses. Findings that may help to differentiate this lesion from the ubiquitous disk prolapse, more common meningiomas and nerve sheath tumors are its ovoid shape, uniform T2 hyperintense signal and lack of anatomic connection with the neighboring intervertebral disk or the exiting nerve root. Entirely extradural lesions with no bone involvement are rare and represent about 12% of all intraspinal hemangiomas. Medknow Publications 2010 /pmc/articles/PMC3075829/ /pubmed/21572634 http://dx.doi.org/10.4103/0974-8237.77677 Text en Copyright: © Journal of Craniovertebral Junction and Spine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Sanghvi, Darshana Munshi, Mihir Kulkarni, Bijal Kumar, Abhaya Dorsal spinal epidural cavernous hemangioma |
title | Dorsal spinal epidural cavernous hemangioma |
title_full | Dorsal spinal epidural cavernous hemangioma |
title_fullStr | Dorsal spinal epidural cavernous hemangioma |
title_full_unstemmed | Dorsal spinal epidural cavernous hemangioma |
title_short | Dorsal spinal epidural cavernous hemangioma |
title_sort | dorsal spinal epidural cavernous hemangioma |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3075829/ https://www.ncbi.nlm.nih.gov/pubmed/21572634 http://dx.doi.org/10.4103/0974-8237.77677 |
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