KMID : 1150320210170010016
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Journal of Korean Society of Geriatric Neurosurgery 2021 Volume.17 No. 1 p.16 ~ p.19
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Spinal intradural extramedullary cavernous hemangioma with hemorrhagic transformation
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Kang Gyu-Hyun
Son Dong-Wuk Lee Su-Hun Lee Jun-Seok Lee Sang-Weon Song Geun-Sung
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Abstract
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Cavernous hemangioma in the spine is rare, and the occurrence of intradural extramedullary cavernous hemangioma is particularly infrequent. A 57-year-old male patient visited the emergency room with suddenly worsening neurological symptoms. Computed tomography at the T10-11 levels showed a round isodense mass lesion, and magnetic resonance imaging showed a 1.2-cm oval intradural extramedullary mass. Therefore, the diagnosis of an intradural extramedullary tumor was suspected. Active subdural hemorrhage was seen when the dura was opened after T10-11 laminectomy. The tumor had brown and reddish colorations. The diagnosis of cavernous hemangioma was made based on a pathological examination, which showed a dilated and congested vascular space lined by endothelial cells. Hemorrhagic transformation of a cavernous hemangioma can worsen a patient¡¯s condition. Therefore, before surgery, we should consider the possibility of other tumors, such as cavernous hemangiomas, as well as common intradural extramedullary tumors.
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KEYWORD
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Cavernous hemangioma, Spinal cord neoplasm
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