TY - JOUR
T1 - Thoracic spinal cord cavernous angioma: a case report and review of the literature
AU - Grasso, Giovanni
AU - Granata, Francesca
AU - Cutugno, Mariano
AU - Alafaci, Concetta
AU - Salpietro, Francesco Maria
AU - Tomasello, Francesco
PY - 2014
Y1 - 2014
N2 - INTRODUCTION:Cavernous angiomas of the spinal cord are rare vascular malformations, which account for approximately 5 to 12 percent of spinal cord vascular lesions. They usually originate in the vertebrae, with occasional extension into the extradural space, and intramedullary cavernomas, even if reported in the literature, are very rare.CASE PRESENTATION:We report the case of a 34-year-old Caucasian woman affected by a thoracic intramedullary cavernous angioma. Our patient complained of 10-day history of acute dorsal pain, progressive weakness of both lower extremities, worse on the right side, a 'pins and needles' sensation in the abdominal region and bladder dysfunction. Magnetic resonance imaging showed, at D5 level, a vascular malformation, which was not documented at spinal angiography. Our patient underwent surgical treatment with total removal of the lesion and her symptoms gradually improved. A histological examination revealed the typical features of a cavernous angioma.CONCLUSIONS:Intramedullary cavernous angioma is a rare lesion that should be diagnosed early and surgically treated before rebleeding or enlargement of the lesion can occur.
AB - INTRODUCTION:Cavernous angiomas of the spinal cord are rare vascular malformations, which account for approximately 5 to 12 percent of spinal cord vascular lesions. They usually originate in the vertebrae, with occasional extension into the extradural space, and intramedullary cavernomas, even if reported in the literature, are very rare.CASE PRESENTATION:We report the case of a 34-year-old Caucasian woman affected by a thoracic intramedullary cavernous angioma. Our patient complained of 10-day history of acute dorsal pain, progressive weakness of both lower extremities, worse on the right side, a 'pins and needles' sensation in the abdominal region and bladder dysfunction. Magnetic resonance imaging showed, at D5 level, a vascular malformation, which was not documented at spinal angiography. Our patient underwent surgical treatment with total removal of the lesion and her symptoms gradually improved. A histological examination revealed the typical features of a cavernous angioma.CONCLUSIONS:Intramedullary cavernous angioma is a rare lesion that should be diagnosed early and surgically treated before rebleeding or enlargement of the lesion can occur.
KW - Cavernous angiomas
KW - spinal cord
KW - Cavernous angiomas
KW - spinal cord
UR - http://hdl.handle.net/10447/99899
M3 - Article
VL - 8
SP - 271
EP - 275
JO - Journal of Medical Case Reports
JF - Journal of Medical Case Reports
SN - 1752-1947
ER -