A Spinal Epidural Cavernous Hemangioma with Dumbbell-Shaped Growth

Case Report

Korean J Spine 2004;1(2): 269-272.

Chul-Hee Lee, M.D., Soo-Hyun Hwang, M.D., Dong-Ho Kang, M.D. and EunSang Kim, M.D.1

Department of Neurosurgery, Gyeongsang National University College of Medicine, Jinju, Korea, 1Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

아령 형태의 성장을 보인 척추 경막외 해면상혈관종

이철희ㆍ황수현ㆍ강동호ㆍ김은상¹

경상대학교 의과대학 신경외과학교실, 성균관대학교 의과대학 신경외과학교실¹

Abstract

The authors present a rare case of dumbbell-shaped spinal cavernous hemangioma. A 45-year-old female was admitted due to low back pain. Computed tomography myelogram and magnetic resonance imaging studies showed a spinal epidural mass extending to extravertebral space through the intervertebral foramen. Though it was dumbbell shaped, the intervertebral foramen was not enlarged. Under the impression of neurinoma, unilateral osteoplastic laminotomy of the third lumbar vertebra was performed. The mass was thightly attached to the epidural venous plexus and highly vascular. The mass was removed en bloc and confirmed with cavernous hemangioma. The authors discuss the differential diagnosis for lesions with dumbbellsha- ped growth and treatment options for spinal epidural cavernous hemangioma.

Keywords: Cavernous hemangiomaㆍEpidural spaceㆍSpine