Artikel
Clinical and radiological presentation of spinal epidural hemangioma: clinical series in a tertiary care center during a ten-year period
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Autoren
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Mario Mühmer
- Neurochirurgische Klinik, Heinrich-Heine-Universität, Düsseldorf
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Richard Bostelmann
- Neurochirurgische Klinik, Heinrich-Heine-Universität, Düsseldorf
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Frank Floeth
- Klinik für Wirbelsäule und Schmerz, St. Vinzenz-Krankenhaus, Düsseldorf
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Sevgi Sarikaya-Seiwert
- Neurochirurgische Klinik, Heinrich-Heine-Universität, Düsseldorf
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Hans-Jakob Steiger
- Neurochirurgische Klinik, Heinrich-Heine-Universität, Düsseldorf
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Jan Frederick Cornelius
- Neurochirurgische Klinik, Heinrich-Heine-Universität, Düsseldorf
| Veröffentlicht: | 21. Mai 2013 |
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Gliederung
Text
Objective: Hemangiomas are very frequent benign spinal tumors (9–12 %). However, epidural location is extremely rare. At present, only 50 cases were reported in the literature during the last ten years. We proposed to analyze clinical and radiological features of this rare entity treated in a tertiary care center during the last ten years.
Method: Retrospective surgical series (2002–2012). The clinic's electronically database was searched for spinal and vertebral hemangiomas, which were treated by surgery and/ or vertebroplasty. Clinical, radiological and histopathological data were analyzed.
Results: In total, the series comprised 30 spinal hemangiomas. There were 6 epidural, 17 vertebral and 7 intradural lesions, respectively. Patients with epidural hemangioma were 4 men and 2 women, the mean age was 28.3. Out of the 6 epidural hemangiomas, 2 presented with localized pain only, 2 with radiculopathy and focal neurological deficit, 1 with radiculopathy only and 1 with focal neurological deficit, respectively. The onset of symptoms was progressive in 4 cases over weeks to months and sudden in 2 cases. Preoperative MRI imaging revealed features of meningioma, neurinoma or metastasis.
Conclusions: Epidural hemangiomas are extremely rare spinal lesions. They may mimic more common spinal tumors clinically and radiologically. The treatment is surgical resection and the diagnosis is confirmed histologically.
