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Pure spinal epidural cavernous hemangioma: A case series of seven cases

INTRODUCTION: Pure spinal epidural cavernous hemangiomas (PSECHs) are rare vascular lesions with about 100 cases reported. Herein, we present a case series of 7 PSECHs discussing their clinical presentation, radiological characteristics, surgical technique and intraoperative findings, pathological f...

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Autores principales: Esene, Ignatius Ngene, Ashour, Ahmed M, Marvin, Eric, Nosseir, Mohamed, Fayed, Zeiad Y, Seoud, Khaled, El Bahy, Khaled
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4994150/
https://www.ncbi.nlm.nih.gov/pubmed/27630480
http://dx.doi.org/10.4103/0974-8237.188419
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author Esene, Ignatius Ngene
Ashour, Ahmed M
Marvin, Eric
Nosseir, Mohamed
Fayed, Zeiad Y
Seoud, Khaled
El Bahy, Khaled
author_facet Esene, Ignatius Ngene
Ashour, Ahmed M
Marvin, Eric
Nosseir, Mohamed
Fayed, Zeiad Y
Seoud, Khaled
El Bahy, Khaled
author_sort Esene, Ignatius Ngene
collection PubMed
description INTRODUCTION: Pure spinal epidural cavernous hemangiomas (PSECHs) are rare vascular lesions with about 100 cases reported. Herein, we present a case series of 7 PSECHs discussing their clinical presentation, radiological characteristics, surgical technique and intraoperative findings, pathological features, and functional outcome. MATERIALS AND METHODS: We retrieved from the retrolective databases of the senior authors, patients with pathologically confirmed PSECH operated between January 2002 and November 2015. From their medical records, the patients’ sociodemographic, clinical, radiological, surgical, and histopathological data were retrieved and analyzed. RESULTS: The mean age of the seven cases was 50.3 years. Four were females. All the five cases (71.4%) in the thoracic spine had myelopathy and the 2 (28.6%) lumbar cases had sciatica. Local pain was present in all the cases. All the lesions were isointense on T1-weighted images, hyperintense on T2-weighted images, and in five cases there was strong homogeneous enhancement. In six cases (85.7%), classical laminectomy was done; lesions resected in one piece in five cases. Total excision was achieved in all the cases. Lesions were thin-walled dilated blood vessels, lined with endothelium, and engorged with blood and with scanty loose fibrous stroma. The median follow-up was 12 months (range: 1–144 months). All patients gradually improved neurologically and achieved a good outcome with no recurrence at the last follow-up. CONCLUSION: PSECH although rare is increasing reported and ought to be included in the differential diagnosis of spinal epidural lesions. Early surgical treatment with total resection is recommended as would result in a good prognosis.
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spelling pubmed-49941502016-09-14 Pure spinal epidural cavernous hemangioma: A case series of seven cases Esene, Ignatius Ngene Ashour, Ahmed M Marvin, Eric Nosseir, Mohamed Fayed, Zeiad Y Seoud, Khaled El Bahy, Khaled J Craniovertebr Junction Spine Original Article INTRODUCTION: Pure spinal epidural cavernous hemangiomas (PSECHs) are rare vascular lesions with about 100 cases reported. Herein, we present a case series of 7 PSECHs discussing their clinical presentation, radiological characteristics, surgical technique and intraoperative findings, pathological features, and functional outcome. MATERIALS AND METHODS: We retrieved from the retrolective databases of the senior authors, patients with pathologically confirmed PSECH operated between January 2002 and November 2015. From their medical records, the patients’ sociodemographic, clinical, radiological, surgical, and histopathological data were retrieved and analyzed. RESULTS: The mean age of the seven cases was 50.3 years. Four were females. All the five cases (71.4%) in the thoracic spine had myelopathy and the 2 (28.6%) lumbar cases had sciatica. Local pain was present in all the cases. All the lesions were isointense on T1-weighted images, hyperintense on T2-weighted images, and in five cases there was strong homogeneous enhancement. In six cases (85.7%), classical laminectomy was done; lesions resected in one piece in five cases. Total excision was achieved in all the cases. Lesions were thin-walled dilated blood vessels, lined with endothelium, and engorged with blood and with scanty loose fibrous stroma. The median follow-up was 12 months (range: 1–144 months). All patients gradually improved neurologically and achieved a good outcome with no recurrence at the last follow-up. CONCLUSION: PSECH although rare is increasing reported and ought to be included in the differential diagnosis of spinal epidural lesions. Early surgical treatment with total resection is recommended as would result in a good prognosis. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4994150/ /pubmed/27630480 http://dx.doi.org/10.4103/0974-8237.188419 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-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Esene, Ignatius Ngene
Ashour, Ahmed M
Marvin, Eric
Nosseir, Mohamed
Fayed, Zeiad Y
Seoud, Khaled
El Bahy, Khaled
Pure spinal epidural cavernous hemangioma: A case series of seven cases
title Pure spinal epidural cavernous hemangioma: A case series of seven cases
title_full Pure spinal epidural cavernous hemangioma: A case series of seven cases
title_fullStr Pure spinal epidural cavernous hemangioma: A case series of seven cases
title_full_unstemmed Pure spinal epidural cavernous hemangioma: A case series of seven cases
title_short Pure spinal epidural cavernous hemangioma: A case series of seven cases
title_sort pure spinal epidural cavernous hemangioma: a case series of seven cases
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4994150/
https://www.ncbi.nlm.nih.gov/pubmed/27630480
http://dx.doi.org/10.4103/0974-8237.188419
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