Download PDF
CC BY-NC-ND 4.0 · Asian J Neurosurg 2021; 16(01): 144-149
DOI: 10.4103/ajns.AJNS_150_20
Case Report

Dorsal spinal epidural cavernous angioma; A case report

Girish Joshi
Department of Neurosurgery, Apollo Specialty Hospital, Bengaluru, Karnataka
,
K Krishna
Department of Neurosurgery, Apollo Specialty Hospital, Bengaluru, Karnataka
,
Dilip Krishna
Department of Neurosurgery, Apollo Specialty Hospital, Bengaluru, Karnataka
,
Ganesh Murthy
Department of Neurosurgery, Apollo Specialty Hospital, Bengaluru, Karnataka
,
Ajay Herur
Department of Neurosurgery, Apollo Specialty Hospital, Bengaluru, Karnataka
,
Sundeep Karnam
Department of Neurosurgery, Apollo Specialty Hospital, Bengaluru, Karnataka
› Author Affiliations
› Further Information
   Permissions and Reprints

Spinal cavernous angiomas are lesions formed by vessels lined by closely clustered endothelial cells. They are common in the vertebral body and less common in an intradural location. However, these are very rare in the extra-osseous and epidural region. Less than 100 cases have been reported. Here, we report a case of dorsal spinal extradural cavernous angioma in a 52-year-old man who presented with back pain and difficulty in walking. Magnetic resonance imaging brain showed D7–D8 (thoracic) extradural spinal lesion, enhancing homogeneously on contrast administration. He underwent D7–D8 hemilaminectomy and tumor decompression. The tumor was extradural, tightly adherent to the dura, and highly vascular. He recovered completely after surgical removal with no recurrence 2 years after removal. He was not administered adjuvant radiotherapy. In this article, we review the literature regarding clinical features, imaging findings, and outcome of spinal epidural cavernous angioma.

Key-words:

Cavernous angioma of the spine - epidural spine tumor - magnetic resonance imaging spine - spinal tumor - spine tumor surgery - vascular spine lesion

Financial support and sponsorship

Nil.




Publication History

Received: 09 April 2020

Accepted: 18 July 2020

Article published online:
16 August 2022

© 2021. 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/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Lanotte M, Massaro F, Faccani G, Forni M, Valentini MC. Dumbbell-shaped spinal epidural cavernous angioma. Case report. Ital J Neurol Sci 1994;15:429-32.
  • 2 Singh RV, Suys S, Campbell DA, Broome JC. Spinal extradural cavernous angioma. Br J Neurosurg 1993;7:79-82.
  • 3 Decker RE, San Augustin W, Epstein JA. Spinal epidural venous angioma causing foraminal enlargement and erosion of vertebral body. Case report. J Neurosurg 1978;49:605-6.
  • 4 Harrison MJ, Eisenberg MB, Ullman JS, Oppenheim JS, Camins MB, Post KD. Symptomatic cavernous malformations a ecting the spine and spinal cord. Neurosurgery 1995;37:195-204.
  • 5 McCormick WF. The pathology of vascular (“arteriovenous”) malformations. J Neurosurg 1966;24:807-16.
  • 6 Minh NH. Cervicothoracic spinal epidural cavernous hemangioma: Case report and review of the literature. Surgical Neurol 2005;64:83-5.
  • 7 Yunoki M, Suzuki K, Uneda A, Yoshino K. A case of dumbbell-shaped epidural cavernous angioma in the lumbar spine. Surg Neurol Int 2015;6:S309-12.
  • 8 Uchida K, Yayama T, Nakajima H, Hirai T, Kobayashi S, Chen K, et al. Microsurgical resection of cavernous haemangioma around the thoracic neuroforamen: A case report. J Orthop Surg (Hong Kong) 2010;18:370-3.
  • 9 Talacchi A, Spinnato S, Alessandrini F, Iuzzolino P, Bricolo A. Radiologic and surgical aspects of pure spinal epidural cavernous angiomas. Report on 5 cases and review of the literature. Surg Neurol 1999;52:198-203.
  • 10 Rovira A, Rovira A, Capellades J, Zauner M, Bella R, Rovira M. Lumbar extradural hemangiomas: Report of three cases. AJNR Am J Neuroradiol 1999;20:27-31.
  • 11 Padovani R, Tognetti F, Proietti D, Pozzati E, Servadei F. Extrathecal cavernous hemangioma. Surg Neurol 1982;18:463-5.
  • 12 Morioka T, Nakagaki H, Matsushima T, Hasuo K. Dumbbell-shaped spinal epidural cavernous angioma. Surg Neurol 1986;25:142-4.
  • 13 Decker Re, San Augustin W, Epstein Ja. Spinal epidural venous angioma causing foraminal enlargement and erosion of vertebral body. Case Report. J Neurosurg 1978;49:605–606.
  • 14 Franz K, Lesoin F, Leys D, Krivosic I, Jomin M. Spinal epidural dumbbell-shaped cavernous angioma. Rev Neurol (Paris) 1987;143:298-300.
  • 15 Li TY, Xu YL, Yang J, Wang J, Wang GH. Primary spinal epidural cavernous hemangioma: Clinical features and surgical outcome in 14 cases. J Neurosurg Spine 2015;22:39-46.
  • 16 Shukla D, Rao VS, Rajesh A, Uppin MS, Purohit AK. Lumbar extradural dumbbell cavernous hemangioma: A rare lesion. J Neurosci Rural Pract 2013;4:207-9.
  • 17 Haimes AB, Krol G. Dumbbell-shaped spinal cavernous hemangioma: A case report. AJNR Am J Neuroradiol 1991;12:1021-2.
  • 18 Fukushima M, Nabeshima Y, Shimazaki K, Hirohata K. Dumbbell-shaped spinal extradural hemangioma. Arch Orthop Trauma Surg 1987;106:394-6.
  • 19 Saringer W, Nöbauer I, Haberler C, Ungersböck K. Extraforaminal, thoracic, epidural cavernous haemangioma: Case report with analysis of magnetic resonance imaging characteristics and review of the literature. Acta Neurochir (Wien) 2001;143:1293-7.
  • 20 Khalatbari MR, Abbassioun K, Amirjmshidi A. Solitary spinal epidural cavernous angioma: Report of nine surgically treated cases and review of the literature. Eur Spine J 2013;22:542-7.
  • 21 Jeong WJ, Choi I, Seong HY, Roh SW. Thoracic extradural cavernous hemangioma Mimicking a Dumbbell-Shaped Tumor. J Korean Neurosurg Soc 2015;58:72-5.
  • 22 Sohn MJ, Lee DJ, Jeon SR, Khang SK. Spinal radiosurgical treatment for thoracic epidural cavernous hemangioma presenting as radiculomyelopathy: Technical case report. Neurosurgery 2009;64:E1202-3.
  • 23 Lee JP, Wang AD, Wai YY, Ho YS. Spinal extradural cavernous hemangioma. Surg Neurol 1990;34:345-51.
  • 24 Isoda H, Takahashi M, Mochizuki T, Ramsey RG, Masui T, Takehara Y, et al. MRI of dumbbell-shaped spinal tumors. J Comput Assist Tomogr 1996;20:573-82.