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Case Report
Korean J Spine 2010;7(2): 116-119.
10
Pure Thoracic Spinal Epidural Cavernous Hemangioma with Spinal Cord Compression: A Case Report.
Seong Son, Sang Gu Lee, Chan Jong Yoo, Chan Woo Park, Woo Kyung Kim
Department of Neurosurgery, Spine Center, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea. samddal@gilhospital.com
Abstract
We report a case of pure spinal epidural cavernous hemangioma and discuss the relationships among its clinical manifestation, diagnosis and treatment. A 35-year-old woman was admitted to our department with a six-month history of severe headache, nausea and back pain. Magnetic resonance imaging (MRI) of the thoracic spine showed a spindle-shaped epidural lesion extending into the neural foramen, with compression of the spinal cord at the T8-12 levels and multifocal mass lesions on the paravertebral muscles. The patient underwent microsurgery, the lesion was completely removed, and the patient recovered fully. The lesion in the spinal canal was dark-reddish and was located in the posterolateral epidural space. Histopathologic examination revealed a cavernous hemangioma. Pure spinal epidural cavernous hemangiomas have characteristic MRI findings; however, their differential diagnoses requires careful initial examination and a corresponding clinical correlation.
Keywords: Caverernous hemangioma;Epidural;Spinal cord compression
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