Cavernous hemangioma of the spinal cord - conservative or operative management?

Acta Neurol Scand. 2006 Oct;114(4):287-90. doi: 10.1111/j.1600-0404.2006.00675.x.


Once believed to be extremely uncommon, due to magnetic resonance imaging cavernous hemangiomas of the spinal cord are detected with increasing frequency. Management of both symptomatic and asymptomatic intramedullary cavernous hamangiomas is therefore of growing importance. However, experience with treatment and follow-up is very limited. In particular, patients with multiple central nervous system cavernous hemangiomas represent a therapeutical dilemma. We present a patient with a ruptured intramedullary and multiple cerebral cavernous hemangiomas and a survey of current knowledge of epidemiology, pathophysiology and treatment options. We conclude that the benefit of operative treatment possibly decreases with the number of clinically silent vascular malformations.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Blood Vessels / pathology
  • Blood Vessels / physiopathology
  • Cerebral Cortex / blood supply
  • Cerebral Cortex / pathology
  • Cerebral Cortex / physiopathology
  • Female
  • Hemangioma, Cavernous, Central Nervous System / diagnosis
  • Hemangioma, Cavernous, Central Nervous System / physiopathology
  • Hemangioma, Cavernous, Central Nervous System / surgery*
  • Humans
  • Magnetic Resonance Imaging
  • Microcirculation / pathology
  • Microcirculation / physiopathology
  • Neurosurgical Procedures / standards
  • Postoperative Hemorrhage / etiology
  • Postoperative Hemorrhage / prevention & control
  • Predictive Value of Tests
  • Recurrence
  • Risk Assessment
  • Spinal Cord / blood supply
  • Spinal Cord / pathology*
  • Spinal Cord / physiopathology*
  • Spinal Cord Diseases / diagnosis
  • Spinal Cord Diseases / physiopathology
  • Spinal Cord Diseases / surgery*