Spinal Epidural Cavernous Angioma: Case Report

M. Daneyemez; S. Sirin; B. Duz

doi:10.1055/s-2000-8336

min - Minimally Invasive Neurosurgery, Table of Contents

Minim Invasive Neurosurg 2000; 43(3): 159-162
DOI: 10.1055/s-2000-8336

ORIGINAL PAPER

Georg Thieme Verlag Stuttgart · New York

Spinal Epidural Cavernous Angioma: Case Report

M. Daneyemez, S. Sirin, B. Duz

Department of Neurosurgery, Gulhane Military Medical Academy, School of Medicine, Ankara, Turkey

Abstract

Epidural cavernous angiomas are apparently rare lesions. We present a case of paraplegia with acute onset secondary to spinal epidural cavernous angioma at levels C7 and T1. Magnetic resonance imaging gave the clinician the opportunity to diagnose the lesion preoperatively. In this article, we present and discuss this rare case with a review of the literature.

Key words:

Cavernous Angioma - Epidural Space

Full Text

References

1 Anson J A, Spetzler R F. Surgical resection of intramedullary spinal cord cavernous malformations. J Neurosurg. 1993; 78 446-451
2 Barrow D L, Awad I A. Conceptual overview and management strategies. In: Awad IA, Barrow DL (eds). Cavernous malformations Park Ridge: American Association of Neurological Surgeons 1993: 205-213
3 Cosgrove G R, Bertrand G, Fontaine S, Robitaille Y, Melanson D. Cavernous angiomas of spinal cord. J Neurosurg. 1988; 68 31-36
4 Curling Jr O D, Kelly Jr D L, Elster A D, Craven T E. An analysis of the natural history of cavernous angiomas. J Neurosurg. 1991; 75 702-708
5 Dagi T F, Schmidek H H. Vascular tumors of the spine. In: Sundaresan N, Schimidek AL, Rosenthal DI (eds). Tumors of the Spine: Diagnosis and Clinical Management Philadelphia: WB Saunders Co 1990: 181-191
6 Decker R E, Augustin W S, Epstein J A. Spinal epidural venous angioma causing foraminal enlargement and erosion of vertebral body. J Neurosurg. 1978; 49 605-606
7 Dorfman H D, Steiner G C, Jaffe H L. Vascular tumors of bone. Hum Pathol. 1971; 2 349-376
8 Enomoto H, Goto H. Spinal epidural cavernous angioma: MRI finding. Neuroradiology. 1991; 33 462-467
9 Esparza J, Castro S, Portillo J M, Roger R. Vertebral hemangiomas: Spinal angiography and preoperative embolization. Surg Neurol. 1978; 10 171-173
10 Feuerman T, Dwan P S, Young R F. Vertebrectomy for treatment of vertebral hemangioma without preoperative embolization: Case report. J Neurosurg. 1986; 65 404-406
11 Fontaine S, Melanson D, Cosgrove R, Bertrand G. Cavernous hemangiomas of the spinal cord: MR imaging. Radiology. 1988; 166 839-841
12 Fox M W, Onofrio B M. The natural history and management of symptomatic and asymptomatic vertebral hemangiomas. J Neurosurg. 1993; 78 36-45
13 Fukushima M, Nabeshima Y, Shimazaki K, Hirohata K. Dumbbell-shaped spinal extradural hemangioma. Arch Orthop Trauma Surg. 1987; 106 394-396
14 Giombini S, Morello G. Cavernous angiomas of the brain: Account of fourteen personel cases and review of the literature. Acta Neurochir (Wien). 1978; 40 61-82
15 Guthkelch A N. Haemangiomas involving the spinal epidural space. J Neurol Neurosurg Psychiatry. 1948; 11 199-210
16 Heimberger K, Schanaberth G, Koos W, Pendl G, Auff E. Spinal cavernous hemangioma (intradural-extramedullary) underlying repeated subarachnoid haemorrhage. J Neurol. 1982; 226 289-293
17 Hillman J, Bynke O. Solitary extradural cavernous hemangiomas in the spinal canal. Report of five cases. Surg Neurol. 1991; 36 19-24
18 Isla A, Alvares F, Morales C, Blazquez M G. Spinal epidural hemangiomas. J Neurosurg Sci. 1993; 37 39-42
19 Johnston L M. Epidural hemangioma with compression of spinal cord. JAMA. 1938; 110 119-122
20 Kaplan A. Acute spinal cord compression following hemorrhage within extradural neoplasm. Am J Surg. 1942; 57 450-456
21 Kaplan A. Epidural haemangiomaendothelioma. J Mt Sinai Hosp. 1935; 2 64-67
22 Karshner R G, Rand C W, Reeves D L. Epidural haemangioma associated with hemangioma of the vertebrae: Report of a case. Arch Surg. 1939; 39 942-951
23 Lee J P, Wang A DJ, Wai Y Y, Ho Y S. Spinal extradural cavernous hemangioma. Surg Neurol. 1990; 34 345-335
24 Lee K S, Spetzler R F. Spinal cord cavernous malformation in a patient with familial intracranial cavernous malformations. Neurosurgery. 1990; 26 877-880
25 Lindboe C F, Nordal H J. Multiple neurolemmomas of the cauda equina, cavernous hemangioma of the spinal cord, and degeneration of the lateral corticospinal tracts in a man with the clinical diagnoses of multiple sclerosis. Clin Neuropathol. 1985; 4 260-264
26 Linskey M E, Sekhar L N. Cavernous sinus haemangiomas: A series, a review, and an hypothesis. Neurosurgery. 1992; 30 101-108
27 Little J R, Awad I A, Jones S C, Ebrahim Z Y. Vascular pressures and cortical blood flow in cavernous angioma of the brain. J Neurosurg. 1990; 73 555-559
28 McAllister V L, Kendall B E, Bull J WD. Symptomatic vertebral haemangiomas. Brain. 1975; 98 71-80
29 McCormick P C, Michelsen W J, Post K D, Carmel P W, Stein B M. Cavernous malformations of the spinal cord. Neurosurgery. 1988; 23 459-463
30 McCormick W F, Nofzinger J D. “Cryptic” vascular malformations of the central nervous system. J Neurosurg. 1966; 24 865-875
31 McCormick W F. The pathology of vascular (“arteriovenous”) malformations. J Neurosurg. 1966; 24 807-816
32 Meyer F B, Lombardi D, Scheithauer B, Nichols D A. Extra-axial cavernous haemangiomas involving the dural sinuses. J Neurosurg. 1990; 73 187-192
33 Nelson D A. Spinal cord compression due to vertebral angiomas during pregnancy. Arch Neurol. 1964; 11 408-413
34 Numaguchi Y, Kishikava T, Fukui M, Sawada K, Kitamura K, Matsura K, Russel W J. Prolonged injection angiography for diagnosing intracranial cavernous hemangiomas. Radiology. 1979; 131 137-138
35 Padovani R, Tognetti F, Proietti E, Servadei F. Extrathecal cavernous hemangioma. Surg Neurol. 1982; 18 1463-1465
36 Padovani R, Poppy M, Pozzati E, Tognetti F, Querzola C. Spinal epidural hemangiomas. Spine. 1981; 6 336-340
37 Pagni C A, Canavero S, Forni M. Report of a cavernoma of the cauda equina and review of the literature. Surg Neurol. 1990; 33 124-131
38 Perman E. On haemangiomata in the spinal column. Acta Chir Scand. 1926; 61 91-105
39 Pia H W, Djindan R. Spinal Angiomas; Advances in Diagnosis and Therapy. New York: Springer 1978
40 Pia H W. Diagnosis and treatment of spinal angiomas. Acta Neurochir (Wien). 1973; 28 1-12
41 Pia H W. Symptomatology of spinal angiomas. In: Pia HW, Djiindan R (eds). Spinal Angiomas: Advances in Diagnosis and Therapy New York: Springer 1978: 48-74
42 Ramos Jr F, deToffol B, Aesch B, Jan M. Hydrocephalus and cavernoma of the cauda equina. Neurosurgery. 1990; 27 139-142
43 Rasmussen T B, Kernohan J W, Adson A W. Pathologic classification, with surgical consideration, of spinal tumors. Ann Surg. 1940; 111 513-530
44 Richardson R R, Cerullo L J. Spinal epidural cavernous hemangioma. Surg Neurol. 1979; 12 266-268
45 Rigamonti D, Drayer B P, Johnson P C, Hadley M N, Zabramski J, Spetzler R F. The MRI appearance of cavernous malformations (angiomas). J Neurosurg. 1987; 67 518-524
46 Robinson J R, Award I A. Clinical spectrum and natural course. In: Award IA, Barrow DL (eds). Cavernous Malformations Park Ridge: American Association of Neurological Surgeons 1993: 25-36
47 Russel D S, Rubinstein L J. Pathology of tumors of the nervous system. 5^th ed. Baltimore: Williams & Wilkins 1989: 730-736
48 Russel D S, Rubinstein L J. Tumor and tumor like lesions of maldevelopmental origin. In: Russel DS, Rubinstein LJ (eds). Pathology of Tumors of the Central Nervous System Baltimore: Williams & Wilkins 1989: 730-736
49 Russel D S, Rubinstein L J. Pathology of tumors of the nervous system. 4^th ed. Baltimore: Williams & Wilkins 1977: 129-134
50 Scott R M, Barnes P, Kupsky W, Adelman L S. Cavernous angiomas of the central nervous system in children. J Neurosurg. 1942; 76 38-46
51 Simard J M, Garcia-Bengochea F, Ballinger Jr W E, Mickle J P, Quisling R G. Cavernous angioma: A review of 126 collected and 12 new clinical cases. Neurosurgery. 1986; 18 162-172
52 Turner O A, Kernohan J W. Vascular malformations and vascular tumors involving the spinal cord. Arch Neurol Psychiatr. 1941; 46 444-463
53 Tyndel F J, Bilbao J M, Hudson A R. et al . Hemangioma calcificans of the spinal cord. Can J Neurol Sci. 1985; 12 321-322
54 Ueda S, Saito A, Inomori S. et al . Cavernous angioma of the cauda equina producing subarachnoid hemorrhage. Case report. J Neurosurg. 1987; 66 134-136
55 Wood M W, White R J, Kernohan J W. Cavernous haemangiomatosis involving the brain, spinal cord, heart, skin and kidney: Report of case. Staff Meet Mayo Clin. 1957; 32 249-254
56 Wyburn-Mason R. Vascular Abnormalities and Tumors of the Spinal Cord and its Membranes. London: Kimpton 1943: 49-91
57 Yamasaki T, Handa H, Yamashita J. et al . Intracranial and orbital cavernous angiomas. A review of 30 cases. J Neurosurg. 1986; 64 197-208
58 Zentner J, Hassler W, Gawehn J. et al . Intramedullary cavernous angiomas. Surg Neurol. 1989; 31 64-68

Corresponding Author

M Daneyemez, M. D

GATA Loj. Rieder Apt. D: 38

06010 Etlik Ankara Turkey

Phone: Phone:+90 312 3225239

Fax: Fax:+90 312 3232999

Email: E-mail:mkd@gata.edu.tr