Epidural Hemangioma: A Case Report.
10.4184/jkss.2001.8.3.253
- Author:
Hak Jin MIN
1
;
Keun Woo KIM
;
Yong Hoon KIM
;
Ui Seoung YOON
;
Hee Oh KIM
;
Jun Ho BAEK
Author Information
1. Department of Orthopaedic Surgery, Kang Nam General Hospital, Seoul, Korea. spinemin@kangnamhosp.or.kr
- Publication Type:Case Report
- Keywords:
Epidural hemangioma;
Radiculopathy
- MeSH:
Back Pain;
Diagnosis;
Diagnosis, Differential;
Endothelial Cells;
Female;
Hemangioma*;
Humans;
Leg;
Lower Extremity;
Magnetic Resonance Imaging;
Middle Aged;
Radiculopathy;
Retrospective Studies;
Scoliosis;
Sensation;
Spinal Stenosis;
Spine;
Spondylolisthesis;
Transplants
- From:Journal of Korean Society of Spine Surgery
2001;8(3):253-258
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
STUDY DESIGN: A case report and review of the literature. OBJECTIVES: To discuss an epidural hemangioma and review the literature. MATERIAL AND METHOD: A 56-year-old woman had back pain and pain radiating to the left lower extremity that had gradually worse over 2 weeks. No definite history of trauma was disclosed. The straight leg raising test was positive at 60degree on the left side. Sensation to pinprick was diminished in the L5, S1 dermatome on her left leg. Examination of the left leg revealed weakness of the extensor hallucis longus(3/5 strength). Plain films of the lumbar spine showed degenerative scoliosis and degenerative L4-5 spondylolisthesis with no bone involvement. In retrospective study, T1-,T2-weighted image showed a hyperintense signal mass, unlike an usual MR imaging of epidural hemangioma. A preoperative diagnosis of spondylolisthesis with spinal stenosis was made. RESULTS: The mass compressing L5 root was excised through posterior approach and the fusion was performed from L4 to S1 with bone graft, instumentation. A purple encapsulated tumor, size 1.5x1x.8cm, was found. Histopathologic examination revealed a thin walled sinusoidal vascular space of varying sizes, lined with a single layer of endothelial cells, consistent with typical hemangioma. The patient had a complete neurologic recovery and is doing well 5 months after surgery. CONCLUSIONS: Although the diagnosis of epidural hemangioma was difficult, because of the rarity of that, we should pay attention to awareness of the possibility of such lesion, differential diagnosis in clinical manifestration, neuroradiologic study.
