Spinal hemangioma mimicking a dumbbell-shaped schwannoma: Case report and review of the literature.

J Clin Neurosci

Brigham and Women's Hospital, Harvard Medical School, Department of Neurosurgery, 75 Francis Street, Boston, MA 02115, United States. Electronic address:

Published: April 2018


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Article Abstract

Spinal hemangiomas are common, benign vascular lesions that involve the bony portion of vertebral bodies and are generally asymptomatic. Rarely, they can become aggressive and present with predominantly epidural extension, mimicking other neoplasms. We present the case of a fifty-one year old woman who presented with myelopathy and was discovered to have a large mass causing epidural spinal cord compression, thought to be due to a peripheral nerve sheath tumor. She underwent surgery for tumor debulking. Intraoperatively, the mass was found to be mostly epidural with minimal bone involvement. Final pathology demonstrated a cavernous hemangioma. The patient did well post-operatively, with resolution of symptoms and stable size of residual tumor on eighteen month follow-up imaging.

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http://dx.doi.org/10.1016/j.jocn.2018.01.037DOI Listing

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