Clinical and radiological presentation of spinal epidural haemangiomas: clinical series in a tertiary care centre during a 10-year period

Abstract

Epidural haemangiomas are extremely rare spinal lesions. They may mimic more common spinal tumours clinically and radiologically. The usual treatment is gross total resection confirming the diagnosis histologically.

Epidural cavernous haemangioma during pregnancy: a case report and a literature review

“…These can be intramedullary, intradural, or vertebral epidural [5]. Pure epidural location, defined by the presence of 90% of the tumour volume in the epidural space [6], is unusual. Indeed, 80 cases have been reported in the literature from 1929 to 2006 [2], and represent 4% of epidural tumours and 12% of spinal haemangiomas [4].…”

Radiation Diagnosis and Therapy of Vertebral Hemangiomas

“…Гемангиомы, гипоинтенсивные на Т1-ВИ, обычно увеличивают интенсивность сигнала при внутривенном контрастировании гадолинием [31]. При этом экстравертебральная часть опухоли более интенсивно накапливает контрастирующее вещество, чем часть опухоли, расположенная в кости.…”

Spinal Capillary Hemangioma: A Rare Benign Extradural Tumor

“…Hemangiomas are congenital vascular malformations, classified according to the predominant vascular morphology: cavernous, capillary, arteriovenous, or venous. 1,2 Capillary hemangiomas are the most common subtype overall as they occur frequently in skin and oral mucosa of infants and children. Spinal capillary epidural hemangiomas on the other hand are exceedingly rare, with fewer than 20 reported cases in the literature.…”

“…It typically demonstrates an iso-or hypointense lesion on T1weighted images, hyperintensity on T2-weighted images, and homogenous enhancement following gadolinium administration. 2 These imaging features are not specific, and the differential diagnosis of an enhancing epidural soft tissue mass should include plasmacytoma, lymphoma, and other tumors such as hemangioblastoma, hemangioendothelioma hemangiopericytoma, meningioma, schwannoma, and neurofibroma, which, though typically intradural, can occur in a predominant extradural location. 1,2,5,8 Surgical en bloc resection is the treatment of choice, with a very favorable functional prognosis if performed early.…”

“…2 These imaging features are not specific, and the differential diagnosis of an enhancing epidural soft tissue mass should include plasmacytoma, lymphoma, and other tumors such as hemangioblastoma, hemangioendothelioma hemangiopericytoma, meningioma, schwannoma, and neurofibroma, which, though typically intradural, can occur in a predominant extradural location. 1,2,5,8 Surgical en bloc resection is the treatment of choice, with a very favorable functional prognosis if performed early. 4 Spinal epidural capillary hemangioma should be considered in patients presenting with thoracic myelopathy and MRI findings of a strongly enhancing circumscribed extradural mass with flow voids.…”