Paraplejia en lactante por hematoma extradural debido a sangrado de cavernoma espinal

Spinal epidural cavernous angiomas are rare vascular malformations that exceptionally present with dumbbell-shape morphology. When it happens, preoperative misdiagnosis is the rule, because the clinicoradiological picture is quite similar to the nerve sheath tumours one. Spinal epidural cavernomas complete resection can be achieved with surgical treatment and scarcely morbi-mortality, and excellent outcome can be expected. We report a case of a 57 year-old woman carrying a dumbbell-shaped epidural cavernoma located at C7 and D1 levels that was surgically removed. Special diagnostic features of this kind of lesions are discussed and treatment options currently available are reviewed.

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Cavernoma raquídeo epidural en reloj de arena. Presentación de un caso y revisión de la literatura

Iglesias

Ayerbe

Sousa

et al. 2008

Neurocirugía

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Extradural hemorrhagic spinal cavernous angioma in a paucisymptomatic child: A rare case with review of the current literature

Scafa¹,

Giugliano²,

Gallo³

et al. 2022

Surgical Neurology International

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Background: Cavernous angiomas, also referred to as cavernous hemangiomas or cavernomas (CMs), are vascular malformative benign neoplasms that may develop in any part of the central nervous system. Spinal CMs are uncommon (overall incidence rate of 0.04–0.05%). Pure epidural CMs account for 1–2% of all spinal CMs and 4% of all spinal epidural tumors. Diagnosis is extremely rare in the pediatric age. To the best of our knowledge, only 10 cases have been described so far. The treatment of choice is microsurgical resection. Case Description: We describe here the rare case of a cervicothoracic hemorrhagic spinal epidural cavernoma in a paucisymptomatic, 8-year-old female Bangladeshi child. C7–T2 laminectomy with excision of a scarcely defined, capsulated dark red lesion was performed with good recovery. Conclusion: Spinal epidural cavernomas are rare. Childhood presentation is even rarer. The reason could be found in a greater “compliance” and to a rarer occurrence of acute bleeding in children, thus resulting in a delayed diagnosis. Surgical excision is the gold standard of treatment.

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Paraplejia en lactante por hematoma extradural debido a sangrado de cavernoma espinal

Cited by 2 publications

References 27 publications

Cavernoma raquídeo epidural en reloj de arena. Presentación de un caso y revisión de la literatura

Cavernoma raquídeo epidural en reloj de arena. Presentación de un caso y revisión de la literatura

Extradural hemorrhagic spinal cavernous angioma in a paucisymptomatic child: A rare case with review of the current literature

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