[Lombosacral epidural capillary hemangioma mimicking a dumbbell-shaped neurinoma: A case report and review of the literature]

Neurochirurgie. 2016 Apr;62(2):113-7. doi: 10.1016/j.neuchi.2015.08.002. Epub 2015 Dec 21.
[Article in French]

Abstract

Introduction: Capillary hemangiomas are benign endothelial cell neoplasms that are believed to be hamartomatous proliferations of vascular endothelial cells. The occurrence of spinal epidural capillary hemangiomas is exceedingly rare. Only 8 epidurally located cases of capillary hemangiomas in the spinal canal have been reported in the literature.

Case report: We report for the first time, to our knowledge, a case of lumbosacral epidural capillary hemangioma revealed by S1 back pain and radicular pain in a 60-year-old patient, caused by an L5-S1 epidural capillary hemangioma. The neurological symptoms of the patient improved after surgery.

Conclusion: Spinal epidural capillary hemangioma is exceedingly rare. These lesions are benign and can mimic dumbbell-shaped neurinoma. Total removal by surgery is curative.

Keywords: Capillary hemangioma; Dumbbell-shape; En sablier; Epidural; Hémangiome capillaire; Épidural.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Decompression, Surgical
  • Diagnosis, Differential
  • Epidural Neoplasms / complications
  • Epidural Neoplasms / diagnosis*
  • Epidural Neoplasms / diagnostic imaging
  • Epidural Neoplasms / surgery
  • Female
  • Hemangioma, Capillary / complications
  • Hemangioma, Capillary / diagnosis*
  • Hemangioma, Capillary / diagnostic imaging
  • Hemangioma, Capillary / surgery
  • Humans
  • Low Back Pain / etiology
  • Lumbar Vertebrae
  • Magnetic Resonance Imaging
  • Middle Aged
  • Neurilemmoma / diagnosis
  • Neurofibroma / diagnosis
  • Sacrum
  • Spinal Cord Compression / etiology
  • Spinal Cord Compression / surgery
  • Tomography, X-Ray Computed