DOI QR코드

DOI QR Code

Spinal Epidural Arteriovenous Hemangioma Mimicking Lumbar Disc Herniation

  • Kim, Kyung Hyun (Department of Neurosurgery, Seoul National University Hospital) ;
  • Song, Sang Woo (Department of Neurosurgery, Seoul National University Hospital) ;
  • Lee, Soo Eon (Department of Neurosurgery, Seoul National University Hospital) ;
  • Lee, Sang Hyung (Department of Neurosurgery, Seoul National University, Boramae Medical Center)
  • Received : 2012.02.03
  • Accepted : 2012.10.04
  • Published : 2012.10.28

Abstract

A spinal epidural hemangioma is rare. In this case, a 51 year-old female patient had low back pain and right thigh numbness. She was initially misdiagnosed as having a ruptured disc with possible sequestration of granulation tissue formation due to the limited number of spinal epidural hemangiomas and little-known radiological findings. Because there are no effective diagnostic tools to verify the hemangioma, more effort should be put into preoperative imaging tests to avoid misdiagnosis and poor decisions).

Keywords

References

  1. Aoyagi N, Kojima K, Kasai H : Review of spinal epidural cavernous hemangioma. Neurol Med Chir (Tokyo) 43 : 471-475; discussion 476, 2003 https://doi.org/10.2176/nmc.43.471
  2. Caruso G, Galarza M, Borghesi I, Pozzati E, Vitale M : Acute presentation of spinal epidural cavernous angiomas : case report. Neurosurgery 60 : E575-E576; discussion E576, 2007
  3. Colby GP, Coon AL, Sciubba DM, Bydon A, Gailloud P, Tamargo RJ : Intraoperative indocyanine green angiography for obliteration of a spinal dural arteriovenous fistula. J Neurosurg Spine 11 : 705-709, 2009 https://doi.org/10.3171/2009.6.SPINE09315
  4. Feider HK, Yuille DL : An epidural cavernous hemangioma of the spine. AJNR Am J Neuroradiol 12 : 243-244, 1991
  5. Graziani N, Bouillot P, Figarella-Branger D, Dufour H, Peragut JC, Grisoli F : Cavernous angiomas and arteriovenous malformations of the spinal epidural space : report of 11 cases. Neurosurgery 35 : 856-863; discussion 863-864, 1994 https://doi.org/10.1227/00006123-199411000-00009
  6. Hong SP, Cho DS, Kim MH, Shin KM : Spinal epidural cavernous hemangioma simulating a disc protrusion : a case report. J Korean Neurosurg Soc 33 : 509-511, 2003
  7. Jo BJ, Lee SH, Chung SE, Paeng SS, Kim HS, Yoon SW, et al. : Pure epidural cavernous hemangioma of the cervical spine that presented with an acute sensory deficit caused by hemorrhage. Yonsei Med J 47 : 877-880, 2006 https://doi.org/10.3349/ymj.2006.47.6.877
  8. Lee JW, Cho EY, Hong SH, Chung HW, Kim JH, Chang KH, et al. : Spinal epidural hemangiomas : various types of MR imaging features with histopathologic correlation. AJNR Am J Neuroradiol 28 : 1242-1248, 2007 https://doi.org/10.3174/ajnr.A0563
  9. Minh NH : Cervicothoracic spinal epidural cavernous hemangioma : case report and review of the literature. Surg Neurol 64 : 83-85; discussion 85, 2005 https://doi.org/10.1016/j.surneu.2004.10.030
  10. Raabe A, Beck J, Gerlach R, Zimmermann M, Seifert V : Near-infrared indocyanine green video angiography : a new method for intraoperative assessment of vascular flow. Neurosurgery 52 : 132-139; discussion 139, 2003
  11. Raabe A, Nakaji P, Beck J, Kim LJ, Hsu FP, Kamerman JD, et al. : Prospective evaluation of surgical microscope-integrated intraoperative near-infrared indocyanine green videoangiography during aneurysm surgery. J Neurosurg 103 : 982-989, 2005 https://doi.org/10.3171/jns.2005.103.6.0982
  12. Shin JH, Lee HK, Rhim SC, Park SH, Choi CG, Suh DC : Spinal epidural cavernous hemangioma : MR findings. J Comput Assist Tomogr 25 : 257-261, 2001 https://doi.org/10.1097/00004728-200103000-00019
  13. Woitzik J, Horn P, Vajkoczy P, Schmiedek P : Intraoperative control of extracranial-intracranial bypass patency by near-infrared indocyanine green videoangiography. J Neurosurg 102 : 692-698, 2005 https://doi.org/10.3171/jns.2005.102.4.0692
  14. Woitzik J, Pena-Tapia PG, Schneider UC, Vajkoczy P, Thome C : Cortical perfusion measurement by indocyanine-green videoangiography in patients undergoing hemicraniectomy for malignant stroke. Stroke 37 : 1549-1551, 2006 https://doi.org/10.1161/01.STR.0000221671.94521.51

Cited by

  1. Lumbar Epidural Varix Mimicking Disc Herniation vol.59, pp.4, 2012, https://doi.org/10.3340/jkns.2016.59.4.410
  2. Epidural Hemangioma: A Clinical Series of Five Patients and Review of Literature for the Decade vol.5, pp.3, 2012, https://doi.org/10.22603/ssrr.2020-0120