Spinal epidural venous angioma presenting symtomps  of lumbar disc herniation: a case report

Baykara, Eyup; Korucu, Mustafa; Özdemi̇r, Mevci̇; Gok, Sevki

doi:10.5137/1019-5149.jtn.23081-18.2

Cited by 3 publications

(3 citation statements)

References 9 publications

(12 reference statements)

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“…Extradural venous angiomas are the most uncommon subtype of spinal vascular malformations ( 2 , 3 ). Damage to the movement and differentiation of the primitive mesoderm is widely recognized as the cause of spinal vascular malformations.…”

Section: Discussionmentioning

confidence: 99%

“…However, the etiology of spinal vascular malformations remains unclear ( 4 ). Only six cases of purely extradural spinal venous angiomas have been reported since 1978 during which the first case was reported by Decker et al A review of these six cases showed that almost all patients presented with somatic pain, numbness, or limb weakness ( 2 , 3 ). During the early stage, the patient's symptoms were fairly insidious, leading doctors to ignore them until the enlargement of the intralesional hemorrhage caused other symptoms ( 5 ).…”

Section: Discussionmentioning

confidence: 99%

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Case report: Paralysis after epidural analgesia due to a hemorrhage of pure epidural venous hemangioma

Xie²,

Li³

et al. 2023

Front. Neurol.

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PurposeTo report a case of sudden paralysis after epidural analgesia to raise awareness of the condition and the importance of early identification and appropriate treatment of extradural venous angiomas.Clinical featuresA 28-year-old man with myofascial pain syndrome experienced paraplegia after receiving an epidural block for pain relief, which was later discovered to be caused by hemorrhage from extradural venous angiomas. Decompression surgery was performed immediately and successfully. A follow-up examination was performed 5 months after surgery. The patient reported improvement in urinary retention. The muscle strength in both his lower extremities had recovered to 4 out of 5 but still exhibited considerable residual spasticity.ConclusionsBefore administering epidural analgesia to relieve undetermined pain, it is prudent to carefully weigh potential benefits against potential risks to patient health to minimize the likelihood of complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Case report: Paralysis after epidural analgesia due to a hemorrhage of pure epidural venous hemangioma

Xie²,

Li³

et al. 2023

Front. Neurol.

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“…However, in our study, contrast MRI showed a heterogeneous enhancing pattern in eight cases, ring enhancement in two cases, and no enhancement in one case. Of the eight cases showing heterogeneous enhancing pattern, one case was an arteriovenous hemangioma 8) , and one was a venous hemangioma 9) ; the remaining six cases were all cavernous hemangioma. However, three patients have relatively acute onset of symptoms of 6 h 10) , 3 days 11) , and 8 days 10) .…”

Section: Symptomsmentioning

confidence: 97%

Epidural Hemangioma: A Clinical Series of Five Patients and Review of Literature for the Decade

Yotsuya

Hasegawa

Yamato

et al. 2021

Spine Surg Relat Res

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Background: Since 1929, only 171 epidural hemangioma cases have been reported. We report five epidural hemangiomas and review cases reported over the past decade in terms of radiological features and clinical findings. Methods: Among patients operated on for spinal tumors at our hospital between 2009 and 2020, five had epidural hemangiomas. We retrospectively examined patient records and images and reviewed relevant English literature in PubMed from 2009 to 2019. Eighty-seven epidural hemangioma cases were reported in the last 10 years. Results: Among 87 cases, the average age was 49.58 years; 43 and 44 cases were male and female, respectively. The most common lesion level was thoracic (59.8%), while common symptoms were back pain (42.5%); numbness, hypoesthesia, or anesthesia (37.9%); paraparesis (34.5%); and radicular pain (20.7%). On magnetic resonance imaging (MRI), 77.1% showed hypo-isointensity on T1-weighted image (WI), hyperintensity on T2WI, and homogenous enhanced patterns with contrast. Total resection was performed in most cases, with good clinical outcomes. Preoperative embolization was performed in four cases, with good surgical outcomes. The median follow-up duration of postoperative MRI was 16 months, and no case had recurrence. 2 Conclusions: Epidural hemangiomas are extremely rare and may be difficult to diagnose preoperatively. They should be considered if a dumbbell-shaped or epidural hypervascular lesion is noted. The treatment of choice for epidural hemangioma is total resection, with most cases having good clinical outcomes. Preoperative embolization may be useful for reducing bleeding. Although there were almost no recurrences after resection, careful follow-up for longer periods is required.

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Neuroimaging Differential Diagnoses of Common Lumbar Disk Herniations

Akhaddar

2023

Atlas of Sciatica

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Spinal epidural venous angioma presenting symtomps of lumbar disc herniation: a case report

Cited by 3 publications

References 9 publications

Case report: Paralysis after epidural analgesia due to a hemorrhage of pure epidural venous hemangioma

Case report: Paralysis after epidural analgesia due to a hemorrhage of pure epidural venous hemangioma

Epidural Hemangioma: A Clinical Series of Five Patients and Review of Literature for the Decade

Neuroimaging Differential Diagnoses of Common Lumbar Disk Herniations

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