Intradural extramedullary capillary hemangioma of the cauda equina: Case report and literature review

Jonathan J. Liu, Darrin J. Lee, Lee-Way Jin, Kee D Kim

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Capillary hemangiomas are benign vascular tumors that rarely occur in the neuraxis. When encountered in the spine, prompt diagnosis and complete resection is crucial. On rare instances, these lesions can acutely hemorrhage, leading to sudden neurological decline. To date, there are only 16 reported cases of intradural capillary hemangiomas in the cauda equina. Case Description: We report a case of an intradural extramedullary cauda equina capillary hemangioma that resulted in back pain and lower extremity motor deficit. Initial magnetic resonance (MR) imaging demonstrated a bilobular intradural L3-4 cauda equina lesion. The lesion was isointense on T1-weighted imaging, mildly hyperintense on T2-weighted images and avidly enhancing after gadolinium administration. Pathology confirmed the diagnosis of capillary hemangioma. Conclusion: Early diagnosis and treatment of this patient resulted in complete resection of the tumor and return of lower extremity motor function. Capillary hemangiomas should be considered in the differential diagnosis of cauda equina lesions. En bloc resection of these lesions is the mainstay of treatment.

Original languageEnglish (US)
Pages (from-to)S127-S131
JournalSurgical Neurology International
Volume6
Issue number4
DOIs
StatePublished - Jul 1 2015

Fingerprint

Capillary Hemangioma
Cauda Equina
Lower Extremity
Gadolinium
Back Pain
Blood Vessels
Early Diagnosis
Neoplasms
Spine
Differential Diagnosis
Magnetic Resonance Imaging
Pathology
Hemorrhage
Therapeutics

Keywords

  • Capillary hemangioma
  • cauda equine
  • intradural
  • lumbar

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Intradural extramedullary capillary hemangioma of the cauda equina : Case report and literature review. / Liu, Jonathan J.; Lee, Darrin J.; Jin, Lee-Way; Kim, Kee D.

In: Surgical Neurology International, Vol. 6, No. 4, 01.07.2015, p. S127-S131.

Research output: Contribution to journalArticle

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