Lumbar extradural dumbbell cavernous hemangioma: A rare lesion

Dinesh Shukla; Vinjamuri Srinivasa Rao; Alugolu Rajesh; Megha Shantveer Uppin; Anirrudh Kumar Purohit

doi:10.4103/0976-3147.112771

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Case Report

4 (

); 207-209

doi:

10.4103/0976-3147.112771

Lumbar extradural dumbbell cavernous hemangioma: A rare lesion

Dinesh Shukla^,, Vinjamuri Srinivasa Rao, Alugolu Rajesh, Megha Shantveer Uppin, Anirrudh Kumar Purohit

Departments of Neurosurgery, Nizam’s Institute of Medical Sciences, Hyderabad, Andhra Pradesh, India

1 Departments of Pathology, Nizam’s Institute of Medical Sciences, Hyderabad, Andhra Pradesh, India

Dr. Dinesh Shukla Department of Neurosurgery, Nizam Institute of Medical Sciences Hyderabad, Andhra Pradesh India dineshshukla2002@yahoo.co.in

Journal of Neurosciences in Rural Practice

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Abstract

ABSTRACT

A 52‑year‑old female presented with slowly progressive left lower limb polyradiculopathy. MRI of the lumbar region revealed an extradural dumbbell mass at L3 vertebral level, isointense on T1W and hyperintense on T2W images with homogenous contrast enhancement and extending into paraspinal region through left L3/4 foramen. L2 to L 4 left hemilaminectomy and excision of intraspinal part of tumor was performed. Histopathological examination revealed presence of cavernous hemangioma. This case is reported because of its rarity, unusual dumbbell shape of lesion and difficulty in making a preoperative diagnosis without a coexisting bone lesion.

Keywords

Cavernous hemangioma

dumbbell

extradural

schwannoma

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Conflict of Interest

None declared

References

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[1] Graziani N, Bouillot P, Figarella-Branger D, Dufour H, Peragut J. C., Grisoli F, . Cavernous angiomas and arteriovenous malformations of the spinal epidural space: Report of 11 cases. Neurosurgery. 1994;35:1202-63.
[Google Scholar]

[2] Padovani R, Poppi M, Pozzati E, Tognetti F, Querzola C, . Spinal epidural hemangiomas. Spine (Phila Pa 1976). 1981;6:336-40.
[Google Scholar]

[3] Robinson J. R., Awad I. A., Little J. R., . Natural history of the cavernous angioma. J Neurosurg. 1991;75:709-14.
[Google Scholar]

[4] Morioka T, Nakagaki H, Matsushima T, Hasuo K, . Dumbbell-shaped spinal epidural cavernous angioma. Surg Neurol. 1986;25:142-4.
[Google Scholar]

[5] Padovani R, Tognetti F, Proietti D, Pozzati E, Servadei F, . Extrathecal cavernous hemangioma. Surg Neurol. 1982;18:463-5.
[Google Scholar]

[6] Palur R. S., Ravikumar C. V., Satish S, Rao B. R., Shekar G. R., . Developmental vascular abnormalities of the central nervous system-other than AVM’s.Progress in clinical neurosciences. Neurological Society of India; :p. 151-72. In: editor
[Google Scholar]

[7] Labauge P, . Familial forms of central nervous system cavernomas: From recognition to gene therapy. Neurochirurgie. 2007;53:152-5.
[Google Scholar]

[8] Iglesias S, Ayerbe J, Sarasa J. L., Sousa P, Torres C, Ruiz-Barnés P, . Dumbbell-shaped spinal epidural cavernous angioma. Case report and review of the literature. Neurocirugia (Astur). 2008;19:248-53.
[Google Scholar]

[9] Tekkök I. H., Akpinar G, Güngen Y, . Extradural lumbosacral cavernous hemangioma. Eur Spine J. 2004;13:469-73.
[Google Scholar]

[10] Rovira A, Rovira A, Capellades J, Zauner M, Bella R, Rovira M, . Lumbar extradural hemangiomas: Report of three cases. AJNR Am J Neuroradiol.. 1999;20:27-31.
[Google Scholar]

[11] Aoyagi N, Kojima K, Kasai H, . Review of spinal epidural cavernous hemangioma. Neurol Med Chir (Tokyo). 2003;43:471-5.
[Google Scholar]

[12] Padovani R, Acciarri N, Giulioni M, Pantieri R, Foschini M. P., . Cavernous angiomas of the spinal district: Surgical treatment of 11 patients. Eur Spine J. 1997;6:298-303.
[Google Scholar]

[13] Sohn M. J., Lee D. J., Jeon S. R., Khang S. K., . Spinal radiosurgical treatment for thoracic epidural cavernous hemangioma presenting as radiculomyelopathy: Technical case report. Neurosurgery. 2009;64:E1202-3.
[Google Scholar]

Lumbar extradural dumbbell cavernous hemangioma: A rare lesion

Abstract

ABSTRACT

Keywords

Cavernous hemangioma

dumbbell

extradural

schwannoma

Conflict of Interest

References

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