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CC BY-NC-ND 4.0 · Asian J Neurosurg
DOI: 10.1055/s-0045-1814760
Case Report

Intradural Capillary Hemangioma: Case Report of a Rare Tumor of Cauda Equina

Authors

  • Prakash Paudel 

    1   Department of Neurosciences, Nepal Mediciti Hospital, Sainbu, Lalitpur, Nepal

  • Ashmita Shrestha

    2   Department of Pathology, KDC Hospital, Basundhara, Kathmandu, Nepal

  • Gopal Raman Sharma 

    1   Department of Neurosciences, Nepal Mediciti Hospital, Sainbu, Lalitpur, Nepal
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Abstract

Intradural extramedullary capillary hemangiomas of the cauda equina are very rare. Radiographically, they may mimic other intradural tumors like meningioma or nerve sheath tumors. Here, we present a case of a young woman who presented with low back and left leg radicular pain. Magnetic resonance imaging showed an enhancing lesion in the intradural space at the L4/L5 level. Initially, a diagnosis of meningioma with differential diagnosis of schwannoma was suspected; however, histopathology revealed it to be a capillary hemangioma. Although rare, because of its similar clinico-radiographical features to other common intradural tumors and high risk of intraoperative bleeding, capillary hemangioma should be included in the differential diagnosis when planning surgical excision.

Keywords

benign spinal tumor - capillary hemangioma - intradural extramedullary - cauda equina syndrome - vascular malformation


Publication History

Article published online:
22 January 2026

© 2026. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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