A Case of Spinal Intradural Extramedullary Cavernous Angioma

  • Chung, Dae-Yeong (Department of Neurosurgery, School of Medicine, Kyungpook National University) ;
  • Shin, Yong-Hwan (Department of Neurosurgery, School of Medicine, Kyungpook National University) ;
  • Sung, Joo-Kyung (Department of Neurosurgery, School of Medicine, Kyungpook National University)
  • Published : 2005.07.28

Abstract

Cavernous angiomas represent 5 to 12% of spinal vascular malformations and usually are located at the vertebral body level with possible extension into the extradural space. The intradural intramedullary cavernous angioma occurs in about 3% of cases, whereas extramedullary localization is extremely rare. We report a case of intradural extramedullary cavernous angioma in which the patient presented with low back pain and both leg pain. The magnetic resonance imaging study showed intraspinal mass lesion at L1-2. It was removed totally through laminectomy of L1-2 and confirmed as cavernous angioma. The postoperative course was uneventful without any neurologic deficit. We report this unusual spinal malformation.

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References

  1. Acciari N, Padovani R, Pozzati E, Gaist G, Manetto V : Spinal cavernous angioma : a rare cause of subarachnoid hemorrhage. Surg Neurol 37 : 453-456, 1995
  2. Bruni P, Massari A, Greco R, Hernandez R, Oddi G, Chiappetta F : Subarachnoid hemorrhage from cavrnous angioma of the cauda equina : case report. Surg Neurol 41 : 226-229, 1994 https://doi.org/10.1016/0090-3019(94)90127-9
  3. Cervoni L, Celli P, Gagliardi FM : Cavernous angioma of the cauda equina : report of two cases and review of literature. Neurosurgery 18 : 442-445, 1995
  4. Duke BJ, Levy AS, Lillechei KO : Cavernous hemangiomas of the cauda equina : case report and review of literature. Surg Neurol 50 : 442-445, 1988 https://doi.org/10.1016/S0090-3019(97)00354-6
  5. Harrison MJ, Eisenberg MB, Ullman JS, Oppenheim JS, Camins MB, Post KD : Symptomatic cavernous malformations affecting the spine and spinal cord. Neurosurgery 37 : 195-205, 1995 https://doi.org/10.1227/00006123-199508000-00002
  6. Hirsch JF, Pradat P, David M : [Cavernous angioma of the cauda equna] : Neurochirurgie 11 : 323-327, 1965
  7. Kim KS, Ahn BJ, Han DH : Cavernous angioma of the cauda equina. J Korean Neurosurg Soc 30 : 662-665, 2001
  8. Nozaki K, Inomoto T, Takagi Y, Hashimoto N : Spinal intradural extramedullary cavernous angioma. J Neurosurg (Spine 3) 99 : 316-319, 2003 https://doi.org/10.3171/spi.2003.99.3.0316
  9. Pagni CA, Canavero S, Forni M : Report of a cvernoma of the cauda equina and review of the literature. Surg Neurol 33 : 124-131, 1990 https://doi.org/10.1016/0090-3019(90)90021-G
  10. Pansini A, Lo Re F : Raro case de angiocavernoma della cauda. Mem Soc Tos Um Chir 27 : 679-696, 1966
  11. Rao GP, Bhaskar G, Hemaratnan A, Srinivas TV : Spinal intradural extramedullary cavernous angiomas : report of four cases and review of the literature. Br J Neurosurg 11 : 228-232, 1997 https://doi.org/10.1080/02688699746294
  12. Ueda S, Saito A, Inomori S, Kim I : Cavernous angioma of the cauda equina producing subarachnoid hemorrhage. Case report. J Neurosurg 6 : 134-136, 1987