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KMID : 1141120200060020080
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The Nerve
2020 Volume.6 No. 2 p.80 ~ p.82
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Spinal Epidural Cavernous Hemangioma: Fluctuating Symptom
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Jeon Woo-Man
Paeng Sung-Hwa
Lee Won-Hee
Shim Young-Woo
Kim Sung-Tae
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Abstract
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Although spinal epidural cavernous hemangioma (CH) is rare, identified cases have been increasing in number. We report a case of spinal epidural CH with a fluctuating symptom and discuss its diagnostic evaluation and treatment. A 24-year-old woman had left shoulder pain and mild sensorimotor impairment of the T6 dermatome 5 months before. On examination for pathological reflex, the deep tendon reflex was found to be somewhat elevated. No abnormalities were observed in a simple radiological evaluation. The results of the electrophysiological evaluations were normal. The patient’s symptoms improved after medication and physical therapy. After 3 months, she developed a sudden-onset paraparesis (2/5) and sensory change below her nipple. Magnetic resonance imaging revealed a well-defined extradural mass at the thoracic level. An emergency surgical resection was performed. After the surgery, immediate recovery of the sensorimotor response in the lower extremity was attained. The pathological finding was CH. Fluctuating sensorimotor symptoms should be carefully evaluated immediately because their etiology is involved in the hemodynamic changes in CH.
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KEYWORD
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Epidural space, Hemangioma, cavernous, central nervous system, Hematoma, epidural, spinal, Paraparesis
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