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Intradural-Extramedullary Capillary Hemangioma with Acute Bleeding: Case Report and Literature Review

Irene Panero, Carla Eiriz, Alfonso Lagares, Oscar Toldos, Alberto Panero, Igor Paredes
World Neurosurgery 2017, 108: 988.e7-988.e14

OBJECTIVES: Capillary hemangiomas are benign vascular tumors. They are commonly founded in the vertebral bodies but very seldom in the spinal cord. The most common symptom at onset is long-lasting axial pain without neurologic deficit. In rare cases, the onset may be acute with neurological deficit due to an intratumoral hemorrhage.

PATIENT AND METHODS: We report a case of a 58-year-old male with a history of 15 days upper back pain triggered by a mild traumatism that evolves acutely to paraplegia and urinary and fecal retention. An urgent MR showed an intradural lesion with signs of intratumoral haemorrhage.

RESULTS: Urgent surgical intervention was performed and the anatomopathological results were capillary hemangioma. The symptoms of the patient improved after the surgery.

CONCLUSIONS: Intradural capillary hemangioma with acute intratumoral hemorrhage is a rare pathology, but it must be kept in mind because early diagnosis and treatment are key to achieve a good outcome. As far as we know, this is the first case reported of an intradural-extramedular capillary hemangioma that presents sudden neurologic deficit due to intratumoral bleeding.

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