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KMID : 1155520220170040439
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Anesthesia and Pain Medicine
2022 Volume.17 No. 4 p.439 ~ p.444
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Spinal intramedullary cavernous angioma patient in a pain clinic - A case report -
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Kim Soo-Bin
Lim Se-Hun
Cho Seung-Bae
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Abstract
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Background : Spinal intramedullary cavernous angioma is a rare form of spinal cord tumor that is associated with myelopathy and significant morbidity and surgical treatment is almost always required.
Case : We report a case of spinal intramedullary cavernous angioma in a pain clinic with initial symptoms of unilateral interdigital space sensory change. Morton’s neuroma and piriformis syndrome were clinically suspected, however, symptoms acutely aggravated, and paraplegia developed following the patient’s COVID-19 vaccination. Vaccine-associated side effects were ruled out and spinal intramedullary cavernous angioma was confirmed through magnetic resonance image. The patient underwent surgery for complete mass excision.
Conclusions : Recent reports of COVID-19 vaccine-associated side effects have raised sensitive concerns to both health care providers and the public, that in some cases when the symptoms coincide with vaccination history, it may delay time-sensitive diagnosis and treatment and spend unnecessary costs.
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KEYWORD
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Cavernous angioma, COVID-19, Hemangioma, cavernous, Myelopathy, Spinal cord tumor
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