Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Thoracic Extradural Cavernous Hemangioma Mimicking a Dumbbell-Shaped Tumor

  • Jeong, Won Joo (Department of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Choi, Il (Department of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Seong, Han Yu (Department of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Roh, Sung Woo (Department of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2014.05.18
  • Accepted : 2015.01.23
  • Published : 2015.07.28
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Abstract

Dumbbell-shaped spinal extradural cavernous hemangioma is rare. The differential diagnosis of dumbbell-shaped spinal tumors based on magnetic resonance imaging includes schwannoma and lymphoma. Here, we report a dumbbell-shaped spinal extradural cavernous hemangioma with intrathoracic growth on T2-3 in a 64-year-old man complaining of right side infrascapular area back pain with no neurologic deficit. The cavernous hemangioma was resected through combined video-assisted thoracoscopy and laminectomy without a fusion procedure. The patient had tolerable operative wound pain with no neurologic deficit after surgery. Based on magnetic resonance imaging findings and a review of the literature, we discuss cavernous hemangioma among the differential diagnosis of paravertebral dumbbell-shaped spinal tumors and the importance of complete resection.

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