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Acta Neurochirurgica

Published in:

01-04-2012 | Clinical Article

Pure spinal epidural cavernous hemangioma

Authors: Weiying Zhong, Siqing Huang, Haifeng Chen, Hong Sun, Bowen Cai, Yi Liu, Chao You

Published in: Acta Neurochirurgica | Issue 4/2012

Abstract

Background

Pure epidural cavernous hemangiomas without bony involvement are rare, representing 4% of all spinal epidural tumors. Most of these are case reports and are easily misdiagnosed.

Methods

Herein nine patients (male:female, 5:4, average age: 51 years) with symptomatic pure epidural spinal cavernous hemangioma between 2005 and 2011 were treated, and the clinical, radiological, and pathological records, treatment, and prognosis were discussed.

Results

All patients experienced a slowing progressive clinical course, except for one with intralesional hemorrhage. Clinical manifestations included back or radiating pain, sensorimotor deficits, and sphincters disturbance. Eight lesions were isointense on T1- and hyperintense on T2-weighted images with homogenously strongly enhancement and one was mixed signal with heterogeneous enhancement because of intratumoral hemorrhage. Hemilaminotomoy or laminotomy was performed and total resection was achieved. All patients experienced a gradual neurological improvement with no recurrence.

Conclusions

Spinal epidural cavernous hemangioma is a benign vascular malformation that should be excluded in the diagnosis of epidural lesion. Total surgical resection is recommended and usually results in a good prognosis.

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Title: Pure spinal epidural cavernous hemangioma
Authors: Weiying Zhong
Siqing Huang
Haifeng Chen
Hong Sun
Bowen Cai
Yi Liu
Chao You
Publication date: 01-04-2012
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 4/2012
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-012-1295-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Pure spinal epidural cavernous hemangioma

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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