Summary
A 25-year-old woman presented with a four-year history of progressive right-lower-extremity weakness and atrophy and a left hemisensory deficit was found. Metrizamide-enhanced spinal CT scan showed an intramedullary lesion at the level of T1-T2; this had expanded the cord in fusiform fashion but showed no evidence of a cystic component. Surgical resection was performed and the pathological diagnosis was cavernous hemangioma. Two and one-half years later, her left hemisensory deficit was worsening and a spinal MRI showed high signal intensity mass in the region of the previous surgery consistent with chronic hematoma which was re-evacuated with some improvement in the patient's neurological condition.
Similar content being viewed by others
References
Bergstrand A, Hőők O, Lidvall H (1964) Vascular malformations of the spinal cord. Acta Neurol Scand 40:169–183
Russell DS, Rubinstein LJ (1977) Pathology of tumors of the nervous system, 4th edn. Williams and Wilkins, Baltimore, pp 129–134
Jellinger K (1978) Pathology of spinal vascular malformations and vascular tumors. In: Pia HW, Djindjian R (eds) Spinal angiomas: Advances in Diagnosis and Therapy. Springer. New York
McCormick WF (1966) The pathology of vascular (“arteriovenous”) malformations. J Neurosurg 24: 807–816
Guthkelch AN (1948) Haemangiomas involving spinal epidural space. J Neurol Neurosurg Psychiatry 11: 199–210
Linboe CF, Nordal HJ (1985) Multiple neurilemmomas of the cauda equina, cavernous hemangioma of the spinal cord, and degeneration of the lateral corticospinal tracts in a man with a clinical diagnosis of multiple sclerosis. Clin Neuropathol 4: 260–264
Wood MW, White RJ, Kernohan JW (1957) Cavernous hemangiomatosis involving the brain, spinal cord, heart, skin and kidney. Report of case. Proc Staff Meet Mayo Clin 32: 249–254
Cosgrove GR, Bertrand G, Fontaine S, Robitaille Y, Melanson D (1988) Cavernous angiomas of the spinal cord. J Neurosurg 68: 31–36
Vaquero J, Martinez R, Martinez P (1988) Cavernomas of the spinal cord. Report of two cases. Neurosurgery 22: 143–144
Ueda S, Saito A, Inomori S, Kim I (1987) Cavernous angioma of the cauda equina producing subarachnoid hemorhage. J Neurosurg 66: 134–136
Griffin C, Delapaz R, Enzmann D (1987) Magnetic resonance appearance of slow vascular malformations of the brain stem. Neuroradiology 29: 506–511
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Wang, AM., Morris, J.H., Fischer, E.G. et al. Cavernous hemangioma of the thoracic spinal cord. Neuroradiology 30, 261–264 (1988). https://doi.org/10.1007/BF00341840
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00341840