Spinal epidural capillary hemangioma: A systematic literature review and an illustrative case

Case report: A cystic capillary hemangioma located at the conus medullaris mimicking hemangioblastoma

“…SCHs are slow-growing tumors more commonly observed in middle-aged individuals, with a slightly higher prevalence in males ( 2 , 3 ). However, epidural SCHs exhibit a slight female predominance ( 1 ). Patients with SCHs usually present with chronic, progressive back pain and radicular pain due to compression of the spinal cord and nerves, accompanied by sensory and motor deficits, as well as bowel and bladder dysfunction.…”

“…Surgical intervention is generally regarded as the preferred treatment strategy for SCHs, with most patients achieving favorable outcomes following gross total resection of the tumor ( 1–3 ). However, instances of tumor regrowth have been documented, highlighting the necessity for vigilant postoperative monitoring.…”

“…Capillary hemangiomas, benign vascular tumors typically found in skin and mucosal tissues, are exceedingly rare in the spinal cord, with around 100 cases documented so far. These includes about 30 epidural ( 1 ), 60 intradural extramedullary ( 2 ), and fewer than 20 intramedullary cases ( 3 ), posing a significant diagnostic challenge. On magnetic resonance imaging (MRI), spinal capillary hemangioma (SCH) typically appears as round, well-demarcated solid lesion that is isointense on T1-weighted images and hyperintense on T2-weighted images ( 4 ).…”