An Unusual Long Segment Spinal Epidural Cavernous Hemangioma: A Case Report

2019 ◽  
Vol 1 ◽  
pp. 117-120
Author(s):  
Shamrendra Narayan ◽  
Kuldeep Kumar ◽  
Neha Singh ◽  
Ragini Singh
Keyword(s):  
Cavernous Hemangioma ◽  
Histopathological Diagnosis ◽  
Review Of Literature ◽  
Resonance Imaging ◽  
Provisional Diagnosis ◽  
Contrast Enhanced ◽  
Rare Lesion ◽  
Compressive Myelopathy ◽  
Vertebral Hemangiomas ◽  
Spinal Epidural

Spinal epidural hemangioma, mostly cavernous, is a rare lesion with many radiological mimics that has diagnostic difficulty. They can extend from one to multiple vertebral levels and may or may not be associated with vertebral hemangiomas. We are reporting a case of young adult presenting with features of compressive myelopathy. Plain and contrast-enhanced magnetic resonance imaging showed a large spinal epidural lesion extending from C7 to D10 vertebral levels with extension into adjacent neural foramina and paravertebral spaces. There were also signal changes in bodies and posterior elements of dorsal vertebrae. A provisional diagnosis of lymphoma was made. The patient was operated for decompression and histopathological diagnosis of cavernous hemangioma was made. As in our case, a review of literature shows that epidural cavernous hemangioma of spine may extend to multiple vertebral levels and difficult to diagnose on pre-operative imaging. However, such a long segment epidural cavernous hemangioma has not been reported in literature. Furthermore, we should be aware of these rare lesions to include it in our differential diagnosis the spinal epidural lesions for early diagnosis and management.

scholarly journals Thoracic extraosseous, epidural, cavernous hemangioma: Case report and review of literature

2013 ◽  
Vol 04 (03) ◽  
pp. 309-312 ◽  
Author(s):  
Manish S Sharma ◽  
Sachin A Borkar ◽  
Amandeep Kumar ◽  
M. C. Sharma ◽  
Bhawani S Sharma ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Cavernous Hemangioma ◽  
Histopathological Examination ◽  
Spastic Paraparesis ◽  
Review Of Literature ◽  
Resonance Imaging ◽  
Bone Invasion ◽  
Cavernous Hemangiomas ◽  
One Year ◽  
Compressive Myelopathy

ABSTRACTA 40-year-old male presented with mid-thoracic backache and progressive, ascending, spastic, paraparesis for one year. Magnetic resonance imaging demonstrated an extraosseous, extradural mass, without any bone invasion at the T2-T4 vertebral levels, located dorsal to the thecal sac. The spinal cord was compressed ventrally. The lesion was totally excised after a T2-T4 laminectomy. Histopathological examination revealed a cavernous hemangioma. The authors reported this case and reviewed the literature, to explain why extraosseous, extradural, cavernous hemangiomas should be considered in the differential diagnosis of extradural thoracic compressive myelopathy.

scholarly journals Laparoscopic surgical management of a mature presacral teratoma: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Liming Wang ◽  
Yasumitsu Hirano ◽  
Toshimasa Ishii ◽  
Hiroka Kondo ◽  
Kiyoka Hara ◽  
...  
Keyword(s):  
Laparoscopic Resection ◽  
Mature Teratoma ◽  
Skin Incision ◽  
Histopathological Diagnosis ◽  
Tailgut Cyst ◽  
Resonance Imaging ◽  
Presumptive Diagnosis ◽  
Case Presentation ◽  
Contrast Enhanced ◽  
Magnetic Resonance Imaging Mri

Abstract Background Mature presacral (retrorectal) teratoma is very rare. We report a case in which a mature retrorectal teratoma in an adult was successfully treated with laparoscopic surgery. Case presentation A 44-year-old woman was diagnosed with a presacral tumor during a physical examination. Endoscopic ultrasonography (EUS) revealed a multilocular cystic lesion; the lesion was on the left side of the posterior rectum and measured approximately 30 mm in diameter on both contrast-enhanced pelvic computed tomography (CT) and magnetic resonance imaging (MRI). The presumptive diagnosis was tailgut cyst. However, the histopathological diagnosis after laparoscopic resection was mature teratoma. It is still difficult to preoperatively diagnose mature retrorectal teratomas. Conclusions Laparoscopic resection of mature retrorectal teratomas is a feasible and promising method that is less invasive and can be adapted without extending the skin incision.

scholarly journals Spinal epidural cavernous hemangioma; Report of two cases and Review of literature

2021 ◽  
pp. 101477
Author(s):  
Mahmoud M. Taha ◽  
Ahamed Alawamry ◽  
Ahmad S. Ragheb ◽  
Safwat Abouhashem
Keyword(s):  
Cavernous Hemangioma ◽  
Review Of Literature ◽  
Spinal Epidural

Contrast-Enhanced Magnetic Resonance Imaging in a Spinal Epidural Tumor Model

1997 ◽  
Vol 32 (10) ◽  
pp. 589-595 ◽  
Author(s):  
VAL M. RUNGE ◽  
CHARLES LEE ◽  
ALBERT L. ITEN ◽  
NEIL M. WILLIAMS
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Tumor Model ◽  
Resonance Imaging ◽  
Contrast Enhanced ◽  
Spinal Epidural ◽  
Spinal Epidural Tumor

scholarly journals Role of Non invasive Imaging in Characterisation of Soft Tissue Vascular Anomalies: Comparison of Ultrasound with Contrast Enhanced Magnetic Resonance Imaging

2020 ◽  
Author(s):  
Devkant Lakhera ◽  
Prashant Sarda ◽  
Premila Devi Waikhom ◽  
Dipu Bhuyan ◽  
Bijit Kumar Duara
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Soft Tissue ◽  
Vascular Anomalies ◽  
Histopathological Diagnosis ◽  
Venous Malformations ◽  
Resonance Imaging ◽  
Vascular Perfusion ◽  
Non Invasive ◽  
Contrast Enhanced

Introduction: Soft tissue vascular anomalies present a diagnostic challenge. In these anomalies, imaging is crucial for therapeutic planning and improvement of prognosis. Ultrasound (US) and Contrast-Enhanced Magnetic Resonance Imaging (CEMRI) are both widely utilised and are valuable imaging modalities, both having distinct advantages and limitations in evaluation of such lesions. Aim: To evaluate soft tissue vascular anomalies using US and CEMRI and assess their agreement in characterisation of these lesions. Materials and Methods: The prospective study included 75 patients with vascular anomalies evaluated by means of US and CEMRI: 71 underwent both US and MRI, three underwent US alone, and one patient underwent MRI alone. Patients of all ages were included. Lesions were characterised based on imaging findings and vascular perfusion characteristics. Histopathological evaluation was done in all patients. Receiver Operating Characteristic (ROC) analysis was used for differentiating data. The agreement of US and CEMRI with histopathological diagnosis were assessed using kappa statistics. Results: Among the soft tissue vascular anomalies, 17 were haemangiomas, 55 were vascular malformations and 3 were other vascular tumours. Majority of the lesions were venous malformations (n=26; 34.66%). A cut-off value of 17.5 cm/sec of peak venous velocity using Colour Doppler showed 100% sensitivity in differentiating Arterio-Venous Malformations (AVM) from haemangiomas using ROC curves. Agreement expressed as kappa was 0.884 (95% CI 0.794-0.973) for US and 0.923 (95% CI 0.850-0.996) for CEMRI demonstrating near perfect agreement with histopathology in both. Conclusion: The findings of this study indicate that both US and CEMRI are accurate in detection and characterisation of soft tissue vascular anomalies showing comparable level of agreement. US may be the preferred imaging modality as it is widely available, relatively inexpensive and non invasive. Contrast enhanced MRI may be reserved as a complementary technique in cases wherein lesion categorisation or extent is ambiguous during diagnosis.

scholarly journals Hepatic Inflammatory Pseudotumor—A Diagnostic Challenge: A Case Report and Review of Literature

2019 ◽  
Vol 02 (01) ◽  
pp. 045-048
Author(s):  
Ekta Maheshwari ◽  
Roopa Ram ◽  
Tarun Pandey ◽  
Gitanjali Bajaj ◽  
Kedar Jambhekar
Keyword(s):  
Inflammatory Pseudotumor ◽  
Unknown Origin ◽  
Inflammatory Cells ◽  
Review Of Literature ◽  
Resonance Imaging ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Rare Lesion ◽  
Magnetic Resonance Imaging Mri ◽  
Hepatic Inflammatory Pseudotumor

AbstractInflammatory pseudotumor (IPT) is a rare lesion of unknown origin, characterized by proliferation of fibrous connective tissue and invasion of inflammatory cells. Although benign, it has the propensity to mimic malignant masses given its nonspecific symptoms and imaging manifestations. We present a case of hepatic IPT with variable interpretation on different imaging modalities, called as abscess on computed tomography (CT) and neoplasm on ultrasound and magnetic resonance imaging (MRI), thus posing a diagnostic dilemma. Hence it is important to recognize this as a distinct clinical entity and include it in the differential of liver masses with atypical imaging findings.

scholarly journals Cervical spinal epidural arteriovenous fistulae presenting as compressive myelopathy

2020 ◽  
Vol 10 (3) ◽  
pp. 92-95
Author(s):  
Ganapathy S ◽  
Ullas A ◽  
Pandey P
Keyword(s):  
Blood Flow ◽  
Venous Hypertension ◽  
Flow Dynamics ◽  
Retrograde Flow ◽  
Mechanical Compression ◽  
Review Of Literature ◽  
Radicular Symptoms ◽  
Compressive Myelopathy ◽  
Spinal Epidural ◽  
Flow Pathway

Epidural Arterio-venous fistulae (EDAVF) are rare. They occur as abnormal Arterio-Venous or Capillary communications arising from major arteries of the neck or viscera and anastomose with intracranial venous sinuses or intradural spinal venous plexi, thereby short-circuiting the blood flow pathway and causing sudden and sustained venous hypertension. The retrograde flow results in venous bleeds, which may range from small petechiae on the cortical surface to major venous bleeds resulting in severe disability and even death. The shift of blood flow also can result in a steal phenomenon, serious enough to cause infarcts. Mechanical compression of the spinal cord remains thankfully the commonest symptom and is caused by the high flow fistulae leading to medullary and radicular symptoms, especially in conjunction with neurofibromatosis 1. Proper Identification and management depend on understanding the pathology, location and flow dynamics of the fistula. We present our experience with a large cervical epidural fistula with a review of literature and analysis of management protocols.

scholarly journals Lumbar Epidural Cavernous Hemangioma : A Case Report

2019 ◽  
Vol 8 (1-2) ◽  
pp. 71-73
Author(s):  
Kanuj Kumar Barman ◽  
Akhlaque Hossain Khan ◽  
Md Tauhidur Rahman ◽  
Bishnu Pada Dey ◽  
Md Jalal Uddin
Keyword(s):  
Cavernous Hemangioma ◽  
Complete Removal ◽  
Low Back ◽  
Resonance Imaging ◽  
Nerve Sheath Tumors ◽  
Nerve Sheath ◽  
Soft Tissue Masses ◽  
Disk Prolapse ◽  
Spinal Epidural ◽  
Extradural Space

A 34 year smale patient presented with diffuse low-back pain with bilateral radiculopathy for 8 months duration.The magnetic resonance imaging showed an extradural space occupying lesion in spinal canal from L2 to L5 vertebral levels. The mass was well-marginated with bone involvement. Radiological diagnosis was questionable. The patient underwent L2 to L5 laminectomy under general anesthesia. Intraoperatively, the tumor was purely extradural in location with devoid of attachment to the nerves or dura. Total excision of the extradural compressing mass was not possible due to high vascularity. Histopathology revealed cavernous hemangioma. Purely epidural hemangiomas are uncommon and should be considered in the differential diagnosis of spinal epidural soft tissue masses. Findings that may help differentiate this lesion from the disk prolapse include more common meningiomas and nerve sheath tumors. Early diagnosis and complete removal is the treatment of choice. Ibrahim Card Med J 2018; 8 (1&2): 71-73

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