Intradural-Extramedullary Cavernous Hemangioma of the Left Motor Root C7 - Case Report and Update of the Literature

Abstract

The patient's symptoms were caused both by direct nerve compression and by spinal hemorrhage, most likely spinal SAH. As there was no characteristic hemosiderin rim and due to the hyperintense appearance in T (1)- and T (2)-weighted MR scans, a radiological diagnosis of hemorrhage and classification of the lesion was difficult. Despite their rareness, in patients with signs of spontaneous, spinal SAH and/or nerve compression syndromes cavernous hemangiomas have to be considered as a potential cause.

Surgical treatment of symptomatic vertebral haemangiomas

“…So-called "aggressive" haemangiomas result in rapidly progressive spinal cord compression syndrome [2]. The time interval between onset of pain and appearance of neurological deficits is short and averages one week [5]. We noted stroke-like course of the disease in two cases.…”

“…Haemangiomas constitute 2-3% of all spine tumours [1,2,4]. Clinical presentation relates to haemangiomas' classification into asymptomatic and symptomatic that exert spinal canal structures' compression [2,5].…”

Intradural extramedullary cavernoma of a lumbar nerve root mimicking neurofibroma. A report of a rare case and the differential diagnosis

“…The latter may also be caused by diapedisis hemorrhage [18]. Symptoms include back, neck, and/or spinal pain, sensorimotor deficits, paraparesis, bowel and urinary disturbance, and altered reflexes [2,24,25]. Brown-Sequard syndrome and progressive cord dysfunction are also reported [5,21].…”

“…The lesion may be slightly hyperintense on T2-and isointense on T1-weighted images without contrast enhancement compared with the intensity of the cord [7]. They are generally surrounded by a hypointense hemosiderin ring (macrophage uptake of hemosiderin) on T2-weighted imaging [19,20,29], however this is not always present [25]. They are nonhomogeneously enhancing after contrast medium administration [20,23,30].…”

Spinal Cavernous Hemangioma in a Pediatric Patient - A Case Report

“…Prior to 1990 only 10 surgically treated cases were reported in the literature [3], by 2003 this number had increased [4] with few cases located in the cervical and thoracolumbar spine [5,6]. Due to their rareness, the variable clinical symptoms and variable MR findings, diagnosis of these lesions is often difficult [5].…”