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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.2018.01.037 | DOI Listing |
J Spinal Cord Med
September 2025
Department of Neurosurgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan (R.O.C).
Context: Anastomosing hemangioma typically presents as an asymptomatic lesion in the genitourinary tract, but can cause abdominal pain and hematuria. Early identification and surgical removal are crucial to avoid poor outcomes.
Case Report: We report a case of acute paralysis due to rapid tumor enlargement during pregnancy.
Sci Rep
August 2025
School of Medicine, Department of Neurosurgery, Johns Hopkins University, 600 N. Wolfe Street / Meyer 5-181, Baltimore, MD, 21287, USA.
Spinal cord hemangioblastomas are rare, benign, intradural tumors that, despite their nonmalignant histopathology, can lead to substantial neurological morbidity. While disparities in outcomes based on race and socioeconomic status have been well-documented in other spinal tumor populations, their role in spinal cord hemangioblastoma remains poorly understood. In this study, we utilize the National Cancer Database (NCDB) to evaluate the influence of race, socioeconomic factors, and healthcare access on survival outcomes in patients with spinal cord hemangioblastoma.
View Article and Find Full Text PDFBMJ Case Rep
August 2025
Neurology, Sawai Mansingh Medical College and Hospital, Jaipur, Rajasthan, India.
Cobb Syndrome, or cutaneomeningospinal angiomatosis, is a rare non-hereditary neurocutaneous disorder characterised by spinal arteriovenous malformations (AVMs) and cutaneous vascular lesions within the same metamere. We present a case of Cobb syndrome manifesting as progressive paraparesis due to dorsal compressive myelopathy. Unlike most reported cases, which primarily involve the thoracic spine, this case exhibited extensive vascular malformations affecting all spinal segments, making it a rare presentation.
View Article and Find Full Text PDFSurg Neurol Int
July 2025
Department of Neurosurgery, Trauma and Burns Center, Ben Arous, Tunisia.
Background: Epidural cavernous hemangiomas (ECHs) are rare, benign vascular malformations. They account for 4% of all epidural lesions, and 5-12% of all spinal vascular malformations. Acute hemorrhages into extra-hepatic components may cause the acute onset of major neurological deficits.
View Article and Find Full Text PDFJ Neurosurg Case Lessons
August 2025
Department of Neurosurgery, University of Illinois Chicago, Chicago, Illinois.
Background: Pseudomyogenic hemangioendothelioma (PMHE) is a rare vascular tumor with intermediate malignant potential, most commonly affecting young males and typically involving the soft tissues of the lower extremities. Spinal involvement is exceedingly rare, particularly as an isolated bony lesion without soft tissue extension, posing challenges in establishing standardized treatment approaches.
Observations: This report details a unique case of thoracic PMHE in a 60-year-old woman managed with a multistaged surgical approach, including preoperative embolization and en bloc spondylectomy.