Intradural Extramedullary Capillary Hemangioma in the Upper Thoracic Spine: A Review of the Literature

Capillary hemangiomas are benign tumors found in the skin and soft tissues in younger people. They occur in the central nervous system only rarely, and intradural occurrence is extremely rare. We report here a 60-year-old man presenting with thoracic girdle pain and progressive gait disturbance. Mag...

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Main Authors: Yoichiro Takata, Toshinori Sakai, Kosaku Higashino, Yuichiro Goda, Fumitake Tezuka, Koichi Sairyo
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2014/604131
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author Yoichiro Takata
Toshinori Sakai
Kosaku Higashino
Yuichiro Goda
Fumitake Tezuka
Koichi Sairyo
author_facet Yoichiro Takata
Toshinori Sakai
Kosaku Higashino
Yuichiro Goda
Fumitake Tezuka
Koichi Sairyo
author_sort Yoichiro Takata
collection DOAJ
description Capillary hemangiomas are benign tumors found in the skin and soft tissues in younger people. They occur in the central nervous system only rarely, and intradural occurrence is extremely rare. We report here a 60-year-old man presenting with thoracic girdle pain and progressive gait disturbance. Magnetic resonance images of the thoracic spine showed a 12×8×20 mm, well-defined intradural mass at the T2 level, compressing the spinal cord laterally. Relative to the spinal cord, the mass was hypo- to isointense on T1-weighted images and relatively hyperintense on T2-weighted images, with strong enhancement on contrast-enhanced T1-weighted images. The patient underwent T1-2 hemilaminectomy with resection of the intradural extramedullary tumor, which showed characteristics of a capillary hemangioma on histologic examination. The patient’s symptoms improved following the surgery and no clinical or radiological evidence of recurrence was noted at the 2-year follow-up. We present this case with a review of the literature, highlighting features for differential diagnosis.
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language English
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publisher Wiley
record_format Article
series Case Reports in Orthopedics
spelling doaj-art-4f6d824b3f1f489ca767f8f77267ac0b2025-02-03T00:59:45ZengWileyCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/604131604131Intradural Extramedullary Capillary Hemangioma in the Upper Thoracic Spine: A Review of the LiteratureYoichiro Takata0Toshinori Sakai1Kosaku Higashino2Yuichiro Goda3Fumitake Tezuka4Koichi Sairyo5Department of Orthopedic Surgery, The University of Tokushima, 3-18-15 Kuramoto-cho, Tokushima 770-8503, JapanDepartment of Orthopedic Surgery, The University of Tokushima, 3-18-15 Kuramoto-cho, Tokushima 770-8503, JapanDepartment of Orthopedic Surgery, The University of Tokushima, 3-18-15 Kuramoto-cho, Tokushima 770-8503, JapanDepartment of Orthopedic Surgery, The University of Tokushima, 3-18-15 Kuramoto-cho, Tokushima 770-8503, JapanDepartment of Orthopedic Surgery, The University of Tokushima, 3-18-15 Kuramoto-cho, Tokushima 770-8503, JapanDepartment of Orthopedic Surgery, The University of Tokushima, 3-18-15 Kuramoto-cho, Tokushima 770-8503, JapanCapillary hemangiomas are benign tumors found in the skin and soft tissues in younger people. They occur in the central nervous system only rarely, and intradural occurrence is extremely rare. We report here a 60-year-old man presenting with thoracic girdle pain and progressive gait disturbance. Magnetic resonance images of the thoracic spine showed a 12×8×20 mm, well-defined intradural mass at the T2 level, compressing the spinal cord laterally. Relative to the spinal cord, the mass was hypo- to isointense on T1-weighted images and relatively hyperintense on T2-weighted images, with strong enhancement on contrast-enhanced T1-weighted images. The patient underwent T1-2 hemilaminectomy with resection of the intradural extramedullary tumor, which showed characteristics of a capillary hemangioma on histologic examination. The patient’s symptoms improved following the surgery and no clinical or radiological evidence of recurrence was noted at the 2-year follow-up. We present this case with a review of the literature, highlighting features for differential diagnosis.http://dx.doi.org/10.1155/2014/604131
spellingShingle Yoichiro Takata
Toshinori Sakai
Kosaku Higashino
Yuichiro Goda
Fumitake Tezuka
Koichi Sairyo
Intradural Extramedullary Capillary Hemangioma in the Upper Thoracic Spine: A Review of the Literature
Case Reports in Orthopedics
title Intradural Extramedullary Capillary Hemangioma in the Upper Thoracic Spine: A Review of the Literature
title_full Intradural Extramedullary Capillary Hemangioma in the Upper Thoracic Spine: A Review of the Literature
title_fullStr Intradural Extramedullary Capillary Hemangioma in the Upper Thoracic Spine: A Review of the Literature
title_full_unstemmed Intradural Extramedullary Capillary Hemangioma in the Upper Thoracic Spine: A Review of the Literature
title_short Intradural Extramedullary Capillary Hemangioma in the Upper Thoracic Spine: A Review of the Literature
title_sort intradural extramedullary capillary hemangioma in the upper thoracic spine a review of the literature
url http://dx.doi.org/10.1155/2014/604131
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