Volume 1, Issue 2 (12-2015)                   Iran J Neurosurg 2015, 1(2): 44-46 | Back to browse issues page

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Rahmanian A, Ashraf M H, Owji S M. Report of a Case: An Intradural between Roots Capillary Hemangioma of Cauda Equina. Iran J Neurosurg 2015; 1 (2) :44-46
URL: http://irjns.org/article-1-16-en.html
1- MD, Associate Professor of Neurosurgery, Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran
2- MD, Resident of Neurosurgery, Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran
3- MD, Associate Professor of Pathology, Department of Pathology,Shiraz University of Medical Sciences, Shiraz, Iran
Abstract:   (4779 Views)

Background & Importance: Cavernous angiomas are typically superficial lesionscreated by anomalous vessels and found in the skin or mucosa, but intradural locations are rare especially in the spine. We report a case of the spinal intradural Cavernous angiomas of the lumbar spine.

Case Presentation: A 53-year-old man presented with a 6-month history of low back pain and bilateral radicular pain. In examinations, the patient was shown to have numbness in the anterior aspect of the right thigh in L2 territoryand a decrease in lower limb tendon reflexes. Magnetic resonance imaging (MRI) revealed at L1-L2 level, a well-defined intradural lesion in conusmedularis measuring about 18*12mm that shows high signal intensity in T1 images and low signal intensity in T2 images, which causes compression on the cauda roots. Laminectomy of L1-2 was performedfor tumor removal and intradural exploration revealed a small oval shape, brownish cystic like mass surrounded by adherent nerve roots. Complete removal of this tumor was accomplished. Histologic diagnosis wascapillary hemangioma. After operation, the patient’s symptoms were improved.

Conclusion: We experienced and reported a rare spinal intradural vascular tumor of the lumbar spine. Histologicdiagnosis was Cavernous angiomas.

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Type of Study: Research | Subject: Gamma Knife Radiosurgery

1. Ramos F Jr, De Toffol B, Aesch B, Jan M. Hydrocephalus and cavernoma of the cauda equina. Neurosurgery 1990;27(1):139-42. [DOI:10.1227/00006123-199007000-00023]
2. Chun SW, Kim SJ, Lee TH, Koo HS. Intra-root cavernous angioma of the cauda equina: a case report and review of the literature. J Korean Neurosurg Soc. 2010; 47(4):291-4. doi: 10.3340/jkns.2010.47.4.291. [DOI:10.3340/jkns.2010.47.4.291]
3. Hatiboglu MA, Iplikcioglu AC, Ozcan D. Epidural spinal cavernous hemangioma. Neurol Med Chir (Tokyo). 2006; 46(9):455-8. [DOI:10.2176/nmc.46.455]
4. Newton TM, Potts DG. Vascular malformation. San Anselmo,CA: Clavadel Press;1983. 398 p.
5. Duke BJ, Levy AS, Lillehei KO. Cavernous angiomas of the cauda equina: case report and review of the literature. Surg Neurol. 1998;50(5):442–5. [DOI:10.1016/S0090-3019(97)00354-6]
6. Nowak DA, Gumprecht H, Stolzle A, Lumenta CB. Intraneural growth of a capillary haemangioma of the cauda equina. Acta Neurochir (Wien). 2000; 142(4): 463–7. [DOI:10.1007/s007010050458]
7. Nozaki K, Inomoto T, Taagi Y, Hashimoto N. Spinal intradural extramedullary cavernous angioma. Case report. J Neurosurg. 2003; 99: 316–9. 10- Khalatbari MR, Hamidi M, Moharamzad Y. Pediatric intramedullary cavernous malformation of the conous medullaris: case report and review of the literature. Childs Nerv Syst. (2011) 27:507–511.
8. Falavigna A, Righesso Neto O, dos Santos JA, Ferraz FA. Cavernous angioma of the cauda equina: case report. Arq Neuropsiquiatr. 2004; 62: 531–4. [DOI:10.1590/S0004-282X2004000300029] [PMID]
9. Pagni CA, Canavero S, Forni M. Report of a cavernoma of the cauda equina and review of the literature. Surg Neurol 1990; 33(2): 124–31. [DOI:10.1016/0090-3019(90)90021-G]
10. Shin JH, Lee HK, Jeon SR, Park SH. Spinal intradural capillary hemangioma: MR findings. AJNR Am J Neuroradiol. 2000;21(5):954–6. [PMID]
11. Caroli E, Acqui M, Trasimeni G, Di Stefano D, Ferrante L. A case of intraroot cauda equina cavernous angioma: clinical considerations. Spinal Cord. 2007; 45(4):318–21. [DOI:10.1038/sj.sc.3101964] [PMID]
12. Cecchi PC, Rizzo P, Faccioli F, Bontempini L, Schwarz A, Bricolo A. Intraneural cavernous malformation of the cauda equine. J Clin Neurosci. 2007;14(10):984–6. [DOI:10.1016/j.jocn.2006.06.015] [PMID]
13. Santoro A, Piccirilli M, Frati A, Salvati M, Innocenzi G, Ricci G, Cantore G. Intramedullary spinal cord cavernous malformations: report of ten new cases. Neurosurg Rev. 2004;27(2): 93–8. [DOI:10.1007/s10143-003-0302-9] [PMID]

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