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CASE REPORT
Year : 2017  |  Volume : 4  |  Issue : 2  |  Page : 83-86

A Rare Case of Dumbbell-shaped Spinal Epidural Capillary Hemangioma


1 Professor, Department of Neurosurgery, Government Stanley Hospital, Chennai, Tamil Nadu, India
2 Resident, Department of Neurosurgery, Government Stanley Hospital, Chennai, Tamil Nadu, India
3 Assistant Professor, Department of Neurosurgery, Government Stanley Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
R S Santosh Kumar
Resident, Department of Neurosurgery, Government Stanley Hospital, Chennai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10039-1134

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Study design: A case report and literature review. Summary of background data: Hemangiomas are frequently considered as hamartomatous congenital vascular malformations. Hemangiomas of the spine are usually lesions of the vertebral bodies, but they can occur at other locations, such as the intramedullary or epidural space. Purely epidural hemangiomas are rare and most of them are of cavernous type. Materials and methods: This is a case report of a 70-year-old male with a D6, D7 dumbbell-shaped capillary hemangioma with extraforaminal extension on the left side. Patient underwent D6-8 laminectomy and en bloc resection of the lesion. Results: Microscopic evaluation showed a fibrofatty tissue with a proliferation of small-sized vascular structures with areas of myxoid appearance. To date, there have been nine epidural capillary hemangiomas of the thoracic and lumbar spine reported in the literature. Conclusion: It is important to consider hemangiomas in the differential diagnosis of epidural lesions with dumbbell-shaped appearance in the magnetic resonance imaging study, especially at the thoracic level. These benign lesions usually present as a progressive myelopathy, so early treatment may prevent permanent neurological deficits and result in complete cure.


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