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Spinal epidural venous angioma: a case report and review of the literature

  • Case Report
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Abstract

Background

As a vascular malformation, venous angioma in the spinal cord is extremely rare. To our knowledge, there are only five case reports in the literature, and it has not been previously reported in the pediatric age group.

Case report

In this paper, we report on a 3-year-old patient who presented with progressive weakness in his left upper limb. Spinal magnetic resonance imaging (MRI) revealed an epidural cystic mass at the C6–T2 level. The lesion was diagnosed as venous angioma after total removal with laminectomy. Postoperatively, the patient remained symptom free, and no tumor recurrence was confirmed based on MRI at the time of the 18-month follow-up. The clinical, radiological, surgical, and pathological features of this abnormality are discussed, and all six reported cases were reviewed.

Conclusion

Venous angiomas should be included in the differential diagnosis of spinal cystic lesions in children. A definitive diagnosis is difficult based on MRI alone. This rare lesion is amenable to surgery, and gross total removal (GTR) is usually achievable due to a well-demarcated dissection plane. A good clinical outcome after GTR can be expected.

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References

  1. Arita H, Kishima H, Hosomi K, Iwaisako K, Hashimoto N, Saitoh Y, Yoshimine T (2012) Hemifacial spasm caused by intra-axial brainstem cavernous angioma with venous angiomas. Br J Neurosurg 26:281–283

    Article  PubMed  Google Scholar 

  2. Binkert CA, Kollias SS, Valavanis A (1999) Spinal cord vascular disease: characterization with fast three-dimensional contrast-enhanced MR angiography. AJNR Am J Neuroradiol 20:1785–1793

    CAS  PubMed  Google Scholar 

  3. Decker RE, San Augustin W, Epstein JA (1978) Spinal epidural venous angioma causing foraminal enlargement and erosion of vertebral body. Case report. J Neurosurg 49:605–606

    Article  CAS  PubMed  Google Scholar 

  4. Dompmartin A, Vikkula M, Boon LM (2010) Venous malformation: update on aetiopathogenesis, diagnosis and management. Phlebology 25:224–235

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  5. Jellinger K (1986) Vascular malformations of the central nervous system: a morphological overview. Neurosurg Rev 9:177–216

    Article  CAS  PubMed  Google Scholar 

  6. Lee BB (2013) Venous malformation and haemangioma: differential diagnosis, diagnosis, natural history and consequences. Phlebology 28:176–187

    Article  PubMed  Google Scholar 

  7. Lee JW, Cho EY, Hong SH, Chung HW, Kim JH, Chang KH, Choi JY, Yeom JS, Kang HS (2007) Spinal epidural hemangiomas: various types of MR imaging features with histopathologic correlation. AJNR Am J Neuroradiol 28:1242–1248

    Article  CAS  PubMed  Google Scholar 

  8. Logue V (1979) Angiomas of the spinal cord: review of the pathogenesis, clinical features, and results of surgery. J Neurol Neurosurg Psychiatry 42:1–11

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. Mascalchi M, Quilici N, Ferrito G, Mangiafico S, Scazzeri F, Torselli P, Petruzzi P, Cosottini M, Tessa C, Bartolozzi C (1997) Identification of the feeding arteries of spinal vascular lesions via phase-contrast MR angiography with three-dimensional acquisition and phase display. AJNR Am J Neuroradiol 18:351–358

    CAS  PubMed  Google Scholar 

  10. Nishimura Y, Hara M, Natsume A, Nakajima Y, Fukuyama R, Wakabayashi T, Ginsberg HJ (2013) Spinal intradural cystic venous angioma originating from a nerve root in the cauda equina. J Neurosurg Spine 19:716–720

    Article  PubMed  Google Scholar 

  11. Oya S, Prayson RA, Lee JH (2012) A tentorial venous hemangioma presenting as an extra-axial mass in the ambient cistern: a case report. J Neurol Surg Rep 73:37–40

    Article  PubMed Central  PubMed  Google Scholar 

  12. Tomycz ND, Vora NA, Kanal E, Horowitz MB, Jovin TG (2010) Intracranial arterialized venous angioma: case report with new insights from functional brain MRI. Diagn Interv Radiol 16:13–15

    PubMed  Google Scholar 

  13. Van Gompel JJ, Griessenauer CJ, Scheithauer BW, Amrami KK, Spinner RJ (2010) Vascular malformations, rare causes of sciatic neuropathy: a case series. Neurosurgery 67:1133–1142

    Article  PubMed  Google Scholar 

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The authors have reported no conflicts of interest.

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Authors and Affiliations

  1. Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, No.6 Tiantan Xili, Dongcheng District, 100050, Beijing, China

    Liang Wu, Tao Yang, Xiaofeng Deng, Chenlong Yang & Yulun Xu

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  1. Liang Wu
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  2. Tao Yang
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  3. Xiaofeng Deng
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  4. Chenlong Yang
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  5. Yulun Xu
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Correspondence to Yulun Xu.

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Wu, L., Yang, T., Deng, X. et al. Spinal epidural venous angioma: a case report and review of the literature. Childs Nerv Syst 30, 1601–1605 (2014). https://doi.org/10.1007/s00381-014-2397-4

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  • DOI: https://doi.org/10.1007/s00381-014-2397-4

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