Document Detail

A case of a spinal epidural capillary hemangioma: case report.
MedLine Citation:
PMID:  21311280     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND IMPORTANCE: Spinal hemangiomas usually arise from the vertebral body. Epidural hemangiomas are rare lesions, and most reported cases are cavernous. We report a case of a capillary hemangioma in the thoracic epidural space.
CLINICAL PRESENTATION: The 57-year-old male patient initially presented with low thoracic spine pain. A magnetic resonance image of the thoracolumbar spine demonstrated an avidly enhancing epidural mass lesion in the lower thoracic spine with extension into the adjacent foramina at 2 levels on the right side. The patient developed progressive myelopathy over the course of 2.5 years despite minimal radiological changes. Surgical treatment resulted in good recovery. Histopathologically, the lesion corresponded to a vascular tumor composed of vessels of various calibers with fibrous septa between them.
CONCLUSION: Early treatment of this type of lesion should be advocated to prevent deterioration and permanent neurological deficits. Appropriate treatment appears to be gross total resection.
Alya Hasan; Marie-Christine Guiot; Carlos Torres; Judith Marcoux
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  68     ISSN:  1524-4040     ISO Abbreviation:  Neurosurgery     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-11     Completed Date:  2011-06-17     Revised Date:  2011-08-25    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E850-3     Citation Subset:  IM    
Department of Neurosurgery, McGill University, Montreal Neurological Institute and Hospital, Montreal, Quebec, Canada.
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MeSH Terms
Diagnosis, Differential
Epidural Neoplasms / diagnosis*,  surgery*
Hemangioma, Capillary / diagnosis*,  surgery*
Magnetic Resonance Imaging
Middle Aged
Thoracic Vertebrae / pathology,  surgery
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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