Epidural Cavernous Hemangioma with Foraminal Extension.

Ha,  Jin Gyeong; Bae,  Chae Wan; Khang,  Shin Kwang; Rhim,  Seung Chul

doi:2011.8.3.244

Case Report

Korean J Spine 2011;8(3): 244-247.

DOI: https://doi.org/10.14245/kjs.2011.8.3.244

Epidural Cavernous Hemangioma with Foraminal Extension.

Jin Gyeong Ha, Chae Wan Bae, Shin Kwang Khang, Seung Chul Rhim

¹Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. scrhim@amc.seoul.kr
²Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Abstract

The increased use of magnetic resonance imaging (MRI) has increased the frequency of diagnosis of cavernous hemangioma, but its presentation of an epidural lesion with foraminal extension without intramedullary involvement is very rare. We describe a 31-year-old woman admitted to our department with pain in the left side of her neck and shoulder. Gadolinium enhanced cervical MRI revealed a brightly enhanced, extradural mass (112 cm sized) with widened neural foramen; after surgical excision, it was histologically confirmed as a cavernous hemangioma. Postoperatively, the patient has no neurological deficit or specific complication. Although this lesion mimicked an epidural- neurogenic tumor, its enhancement pattern indicated a cavernous hemangioma. Accurate preoperative diagnosis is necessary for treatment planning. Cavernous hemangioma must be included in the differential diagnosis of a brightly enhanced, extradural tumors.

Keywords: Cavernous Hemangioma;Extradural epidural tumor