Pure spinal epidural cavernous hemangioma

Zhong, Weiying; Huang, Suli; Chen, Haifeng; Sun, Hong; Cai, Biao; Liu, Yi; You, Chao

doi:10.1007/s00701-012-1295-3

Cited by 37 publications

(72 citation statements)

References 27 publications

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“…Our series adds 12 cases, which is a substantial addition to the existing literature. In our group, the age ranged from 25 to 73 years, with a mean age of 52.1 years, which accorded with the literature report (15,17). And besides, a mild female predilection was noted (female/male ratio of 1.4:1).…”

Section: Discussionsupporting

confidence: 89%

“…And besides, a mild female predilection was noted (female/male ratio of 1.4:1). Some authors suggest that reason for the female predominance of spinal CAs may be hormonal effects (15,19). However, this hypothesis has not yet been proven.…”

Section: Discussionmentioning

confidence: 99%

“…The larger available epidural space and the lower resistance in the posterior portion of the spinal canal may be explanations (5,14). In 6 cases, the tumors grew into the intervertebral foramen, which may be due to the loose tissue structure inside the neuroforamen (15,23). Solitary epidural CAs should be differentiated from epidural contrast-enhancing lesions, such as schwannomas, meningiomas, lymphomas and angiolipomas.…”

Section: Discussionmentioning

confidence: 99%

“…Although intraoperative bleeding in piecemeal resection group was significantly more (P<0.05) than that in en bloc resection group, it still could be controlled by using careful microsurgical techniques such as low-power bipolar coagulation and tightly packed Gelfoam roll compression. Embolization is always useless for epidural CAs because of their slow blood flow (4,15).…”

Section: Discussionmentioning

confidence: 99%

“…Solitary epidural CAs not originating from the vertebral bone are relatively rare. With the aid of magnetic resonance imaging (MRI), solitary epidural CAs are being discovered in increasing numbers; nevertheless, most previous studies are case reports with an associated literature review and large series studies are very limited in the literature (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17). Because of the risk of spontaneous and intraoperative bleeding, solitary epidural CAs need to get neurosurgeons more attention.…”

Section: Introductionmentioning

confidence: 99%

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Clinical characteristics and surgical outcomes of solitary spinal epidural cavernous angiomas

2018

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Abstract. The majority of spinal cavernous angiomas (CAs) originate from the vertebral bodies with or without epidural space extension. Solitary epidural CAs are rare. In the present study, we retrospectively reviewed the records of 12 patients who underwent microsurgery for solitary spinal epidural CAs. All patients had performed pre-and postoperative magnetic resonance imaging. The patients were 7 females and 5 males with the mean age of 52.1 years. Two tumors were located in the cervicothoracic spine, nine in the thoracic spine and one in the lumbar spine, respectively. Solitary epidural CAs generally exhibited isointensity on T1-weighted images and hyperintesity on T2-weighted images. Contrast-enhanced T1-weighted images showed homogeneous markedly enhancement. Gross total resection (GTR) was achieved in 11 cases, and subtotal resection (STR) was achieved in 1 case. During an average follow up of 35.9 months, neurological function was improved in 11 patients and in one patient, preoperative status was maintained. No patient experienced tumor recurrence. These findings suggest that CAs should be considered in the differential diagnosis of spinal epidural lesions. Early surgery is advocated to prevent irreversible neurological deficits. When aggravated by a large amount of acute hemorrhage, neurological deterioration is usually acute and prompt surgical decompression is the optimal choice. Because of the excessive vascularity of CAs, en bloc resection is recommended. In addition, a good clinical outcome after GTR can be expected, and the risk of long-term recurrence is low.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Clinical characteristics and surgical outcomes of solitary spinal epidural cavernous angiomas

2018

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Thoracic Epidural Cavernous Hemangioma

Shivaprasad¹,

Shroff²,

Campbell³

2013

JAMA Neurol

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Thoracic epidural arteriovenous malformation causing rapidly progressive myelopathy and mimicking an acute transverse myelitis: A case report

Yuan

Zhou

et al. 2022

Ibrain

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Clinical symptoms of spinal arteriovenous malformations (AVMs) combined with acute spontaneous hemorrhage lack specificity, which leads to misdiagnosis and delays treatment. The current study aimed to analyze the causes of misdiagnosis and review the key points of diagnosis and treatment.We presented an extremely rare case of a 25-year-old man whose clinical characteristics mimicked acute transverse myelitis, suffering from rapidly and repeatedly progressive myelopathy with a mass. The pathological diagnosis of the mass was AVM; symptom-based surgical treatment with posterior decompression and the removal of epidural AVMs during the postoperative 12-month follow-up period were performed. The manual muscle testing grade score of the proximal and distal muscles in both lower limbs improved from 1 to 5, and the American Spinal Injury Association motor and sensation grade score improved from B to E. In the case of sudden or progressive spinal cord injury of unknown cause and acute spinal cord dysfunction, there might be a misdiagnosis. The key to a differential diagnosis is to take into account AVMs, and spontaneous hemorrhages and hematomas should also be suspected.Angiography and magnetic resonance imaging are very important for the

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Pure spinal epidural cavernous hemangioma

Abstract: Spinal epidural cavernous hemangioma is a benign vascular malformation that should be excluded in the diagnosis of epidural lesion. Total surgical resection is recommended and usually results in a good prognosis.

Cited by 37 publications

References 27 publications

Clinical characteristics and surgical outcomes of solitary spinal epidural cavernous angiomas

Clinical characteristics and surgical outcomes of solitary spinal epidural cavernous angiomas

Thoracic Epidural Cavernous Hemangioma

Thoracic epidural arteriovenous malformation causing rapidly progressive myelopathy and mimicking an acute transverse myelitis: A case report

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