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KMID : 1141120160020020087
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The Nerve
2016 Volume.2 No. 2 p.87 ~ p.89
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Pure Spinal Epidural Cavernous Hemangioma: A Case Report
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Lim Woo-Jung
Hur Jin-Woo
Ahn Seong-Yeol
Rhee Jong-Joo
Lee Jong-Won
Lee Hyun-Koo
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Abstract
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Pure spinal epidural cavernous hemangioma is difficult to differentiate from ruptured disc material and is rarely reported. It is usually reported in thoracic spine. The patient was a 73-year-old man suffering from chronic pain in the L5 dermatome area in his left leg. Computed tomography scans showed a slightly high-signal intensity epidural mass in lateral recess at the L4 vertebral body. This lesion showed hyper-intensity on T2-weighted magnetic resonance imaging (MRI) and enhancement on T1-weighted MRI with gadolinium enhancement. This mass-like lesion was surgically removed and the patient’s symptoms improved without complication. Here, we present a case of pure spinal epidural cavernous hemangioma, which should be included in the differential diagnosis of spinal epidural tumors. Early surgical treatment is important.
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KEYWORD
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Hemangioma, Cavernous, Epidural space, Intervertebral disc disease, Magnetic resonance imaging
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