Cavernous angioma of the cauda equina producing subarachnoid hemorrhage

Ueda, Shinsuke; Saito, Akihito; Inomori, Shigeo; Kim, Ilu

doi:10.3171/jns.1987.66.1.0134

Cited by 77 publications

(36 citation statements)

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“…The clinical symptoms were related to subarachnoid hemorrhage (headache, nuchal rigidity and vomiting) in three cases 7,10,11 , local compression of adjacent nerve roots (low back pain and sciatica, sensitive and motor disturbance of the lower limbs, sphincter dysfunction) in six 5,6,8,[11][12][13][14] , and, in two cases, symptoms of intracranial hypertension caused by hydrocephalus 9,12 .The symptoms usually had acute onset in the subarachnoid hemorrhage patients, in the hydrocephalus patients the symptoms started four and three months before admission, and when the symptoms were related with expansive process, the average of beginning of symptoms ranged between ten days and nine years. In all previously reported cases, as in ours, the tumor was totally removed despite their close adherence to the nerve roots.…”

Section: Discussionmentioning

confidence: 98%

“…Cavernous angioma occurring whiting the cauda equina are even more rare, with only eleven cases reported in the literature [5][6][7][8][9][10][11][12][13][14] . Sometimes the cavernous angioma can be located at the lumbar epidural space 16 .…”

Section: Discussionmentioning

confidence: 99%

“…Only 6.2% to 7.5% of all intraspinal tumors are vascular 3,4 .The cavernous angioma rarely occurs in the cauda equina. The literature reports eleven cases [5][6][7][8][9][10][11][12][13][14] . We report on a woman with a cavernous angioma of the cauda equina presenting with low back pain with sciatica, motor and sensory deficit of the lower extremities and bladder and bowel sphincter dysfunction.…”

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confidence: 99%

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Cavernous angioma of the cauda equina: case report

Falavigna

Neto

Santos

et al. 2004

Arq. Neuro-Psiquiatr.

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-We present a rare case of cavernous angioma of the cauda equina and review the eleven cases available in the literature. A 44-year-old woman presented with low back pain and sciatica associated with bowel and bladder dysfunction and motor weakness of the lower extremity. The MRI revealed an enhancing, heterogeneous and hyperintense intradural lesion compressing the cauda equina roots at the L4 level. Laminectomy at L3-L4 and total removal of the tumor were performed without additional neurological deficit. Pathology revealed a cavernous angioma.The literature, clinical presentation, technical examinations, and treatment are reviewed.KEY WORDS: cavernous angioma, cauda equina, cavernoma. Angioma cavernoso de cauda equina: relato de casoRESUMO -Relatamos um caso de angioma cavernoso de cauda equina em mulher de 44 anos de idade com sintomas de lombociatalgia associada a fraqueza de membros inferiores e disfunção esfincteriana vesical e anal. Exame de ressonância magnética evidenciou lesão expansiva intradural heterogênea e hiperintensa na cauda eqüina. Indicado tratamento cirúrgico com remoção completa através de laminectomia L3 e L4. O exame anatomopatológico foi compatível com angioma cavernoso. Os onze casos encontrados na literatura são revisados correlacionando a apresentação clínica, tratamento proposto e prognóstico.PALAVRAS-CHAVE: angioma cavernoso, cauda eqüina, cavernoma.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Cavernous angioma of the cauda equina: case report

Falavigna

Neto

Santos

et al. 2004

Arq. Neuro-Psiquiatr.

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“…2 In all cases the malformation involved the thoraco-lumbar tract of the spinal cord, with tight relationship with a spinal nerve root. 2 In the case observed by Ueda et al, 4 the clinical picture began with a subarachnoid hemorrhage, but the present case is the ®rst report of an intraduralextramedullary cavernous angioma associated with a satellite hematomyelia. Therefore, the peculiarity of the present case mainly resides in the possible combined pathogenesis of both pathologies.…”

Section: Discussionmentioning

confidence: 50%

Conus medullaris hematomyelia associated with an intradural-extramedullary cavernous angioma

et al. 1999

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A unique case of a 50-year-old woman with a conus medullaris hematomyelia associated with a low thoracic intradural-extramedullary cavernous angioma localized 2 cm above is reported. The patient had a 2-month history of progressive paraparesis, hypoesthesia of legs, and bowel and bladder disturbances. The symptoms worsened acutely during the last days before admission. A thoraco-lumbar MRI showed a space-occupying lesion at T10 ± T11 (vertebral interspace associated with a hematomyelia localized about 2 cm below. A T10 ± L1 laminectomy was performed and complete removal of both lesions was obtained with microsurgical technique.A non-traumatic hematomyelia should always prompt the suspicion of a spinal AVM or, more rarely, of a cavernous angioma. The possible anatomical and clinical correlations of this unusual association are discussed.

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“…In the twenty-six cases reported to date in the literature, the clinical symptoms were related to SAH in four cases [14][15][16], compression of nerve roots in 15 cases [10,15,[17][18][19][20], not mentioned in five cases, ICTH in one case and ICTH +SAH in one case [5,11,12,[19][20][21][22]. In our case, the symptoms were related to the compression of neural structures and not to the presence of subarachnoid hemorrhage.…”

Section: Case Reportmentioning

confidence: 99%

A Rare Case of Cavernous Angioma of the Cauda Equina with Spinal Subarachnoid Hemorrhage in a Patient with Multiple Brain Cavernomatosis. Case Report and Review of Literature

Rizzi¹,

Berardi²,

Beigrezaei³

et al. 2016

JNSK

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Objective: To report a rare case of cavernous angioma of the cauda equina with signs of intratumoral and subarachnoid hemorrhage in a patient affected by multiple brain cavernomatosis, and to discuss the clinicoradiological and surgical features of these uncommon lesions using the data available in the literature. Summary of Background Data:Cavernous angiomas of the cauda equina are extremely rare lesions, accounting for only 5% to 12% of all vascular lesions of the spine, and rarely cause spinal subarachnoid hemorrhage. Including the present, only 27 cases are reported in literature. Methods:A case report and review of the literature.Results: A 50 year-old female with history of multiple brain cavernomatosis, presented with low back pain, paraparesis and lower limb hypoesthesia from six months. MRI scans showed a well defined intradural extramedullary mass in the cauda equine at L2 level, with signs of subarachnoid hemorrhage in L5-S1. An "en-bloc" removal of the lesion was performed. The patient was discharged with no neurological deficit. MRI scan 6 months after surgery showed total excision of the lesion with no recurrence. Conclusion:Cavernous angiomas of the cauda equine associated with multiple cerebral cavernous angiomas are extremely rare lesions. They may present low back pain, sciatica, neurologic deficit and subarachnoid hemorrhage. They can be successfully surgically removed in order to prevent bleeding and dangerous enlargement of the lesion.

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Cavernous angioma of the cauda equina producing subarachnoid hemorrhage

Cited by 77 publications

References 10 publications

Cavernous angioma of the cauda equina: case report

Cavernous angioma of the cauda equina: case report

Conus medullaris hematomyelia associated with an intradural-extramedullary cavernous angioma

A Rare Case of Cavernous Angioma of the Cauda Equina with Spinal Subarachnoid Hemorrhage in a Patient with Multiple Brain Cavernomatosis. Case Report and Review of Literature

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