Publication Date
7-15-2024
Journal
Spinal Cord Series and Cases
DOI
10.1038/s41394-024-00655-0
PMID
39009566
PMCID
PMC11251031
PubMedCentral® Posted Date
7-15-2024
PubMedCentral® Full Text Version
Post-print
Abstract
Introduction: Pure epidural spinal cavernous hemangiomas are rare, benign vascular tumors that account for approximately 4% of all spinal epidural tumors. Due to their dumbbell shape and propensity for foraminal invasion, they are often misdiagnosed and inadequately treated. We present a case of a 58-year-old male with extra-osseous cavernous hemangioma to better aid in diagnosis and management of these lesions.
Case presentation: A 58-year-old male presented with chronic lower back pain, progressive lower extremity weakness, T10 sensory level, absent lower extremity proprioception, hyperreflexia, and an episode of bowel incontinence. Imaging demonstrated T7-T10 homogenous dorsal epidural mass causing cord signal change. He underwent resection with histopathologic exam revealing a pure epidural cavernous hemangioma.
Conclusion: Spinal epidural cavernous hemangiomas are exceedingly rare lesions that are often misdiagnosed as nerve sheath tumors and meningiomas. Common features include chronic pain and myelopathy as well as T1 isodensity, T2 hyperintensity, and homogenous enhancement. Uniquely, they present as a lobulated, spindled shape with tapered ends in the dorsal epidural space. Both gross and subtotal resection result in favorable neurologic outcomes.
Keywords
Humans, Male, Middle Aged, Thoracic Vertebrae, Hemangioma, Cavernous, Spinal Cord Diseases, Epidural Neoplasms, Magnetic Resonance Imaging
Published Open-Access
yes
Recommended Citation
Guntin, Jordan; Ricciardelli, Ashley; Flores, Alex; et al., "Pure Epidural Extraosseous Cavernous Hemangioma With Thoracic Myelopathy: Case Report and Review of Literature" (2024). Faculty and Staff Publications. 5355.
https://digitalcommons.library.tmc.edu/baylor_docs/5355