Accepted Manuscript Title: Spinal epidural cavernous hemangioma: a rare site of involvement Author: Dilek Sağlam, Ahmet Sarı, Ayşegül Cansu PII: DOI: Reference:
S1529-9430(15)01621-6 http://dx.doi.org/doi: 10.1016/j.spinee.2015.10.036 SPINEE 56666
To appear in:
The Spine Journal
Please cite this article as: Dilek Sağlam, Ahmet Sarı, Ayşegül Cansu, Spinal epidural cavernous hemangioma: a rare site of involvement, The Spine Journal (2015), http://dx.doi.org/doi: 10.1016/j.spinee.2015.10.036. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
1
Spinal epidural cavernous hemangioma: a rare site of involvement
2 3
Dilek Sağlam, M.D.1*
4
Ahmet Sarı, M.D., 2
5
Ayşegül Cansu, M.D.,2
6 7
1
8
Samsun, Turkey
9
2
Ondokuz Mayis University Faculty of Medicine, Department of Radiology,
Karadeniz Technical University, Department of Radiology, Trabzon, Turkey
10 11 12
* Corresponding author :
13
Dilek Sağlam, M.D.,
14 15 16
Ondokuz Mayıs University,Department of Radiology,55139 Kurupelit, Samsun,
17
Turkey.
18
Telephone number: +90-362-312-1919
19
Fax:+90-362-457-7146
20
E-mail: [email protected]
21 22
Keywords: cavernous hemangioma; spine; magnetic resonance imaging
23 24
A 38 year-old woman admitted to our hospital with chronic back pain and
25
hyperesthesia of both legs for the last five months. Neurological examination revealed
26
power loss on both legs. MRI showed an elliptical shaped epidural mass at thoracal 5-
27
7 level which lies posterior to the spinal cord, deplacing the cord anteriorly and
28
slightly extends out from the left neural foramina. Lesion was isointense to spinal
29
cord on T1 weighted images, hyperintense on T2 wieghted images and showed
30
intense homogenous enhancement after contrast administration (figs 1 and 2). The
31
patient underwent total thoracal 5-6 laminectomy. Total excision was performed. The
32
pathological diagnosis was cavernous hemangioma.
33
hemangioma is a rare cause of back pain. Most epidural hemangiomas are secondary
Spinal epidural cavernous
Page 1 of 2
1
extensions from vertebral bodies. Pure epidural cavernous hemangioma of the spine
2
without vertebral involvement is rare.
3 4 5 6
Figure legend
7
Fig. 1 Epidural mass isointense on sagittal T1 weighted image (a), hyperintense on
8
sagittal T2 wieghted image (b), lies posterior to the spinal cord, deplacing the cord
9
anteriorly.
10
Fig. 2 The lesion shows homogenous enhancement after contrast administration on T1
11
axial (a) and sagittal (b) images.
12
Page 2 of 2
S1529-9430(15)01621-6 http://dx.doi.org/doi: 10.1016/j.spinee.2015.10.036 SPINEE 56666
To appear in:
The Spine Journal
Please cite this article as: Dilek Sağlam, Ahmet Sarı, Ayşegül Cansu, Spinal epidural cavernous hemangioma: a rare site of involvement, The Spine Journal (2015), http://dx.doi.org/doi: 10.1016/j.spinee.2015.10.036. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
1
Spinal epidural cavernous hemangioma: a rare site of involvement
2 3
Dilek Sağlam, M.D.1*
4
Ahmet Sarı, M.D., 2
5
Ayşegül Cansu, M.D.,2
6 7
1
8
Samsun, Turkey
9
2
Ondokuz Mayis University Faculty of Medicine, Department of Radiology,
Karadeniz Technical University, Department of Radiology, Trabzon, Turkey
10 11 12
* Corresponding author :
13
Dilek Sağlam, M.D.,
14 15 16
Ondokuz Mayıs University,Department of Radiology,55139 Kurupelit, Samsun,
17
Turkey.
18
Telephone number: +90-362-312-1919
19
Fax:+90-362-457-7146
20
E-mail: [email protected]
21 22
Keywords: cavernous hemangioma; spine; magnetic resonance imaging
23 24
A 38 year-old woman admitted to our hospital with chronic back pain and
25
hyperesthesia of both legs for the last five months. Neurological examination revealed
26
power loss on both legs. MRI showed an elliptical shaped epidural mass at thoracal 5-
27
7 level which lies posterior to the spinal cord, deplacing the cord anteriorly and
28
slightly extends out from the left neural foramina. Lesion was isointense to spinal
29
cord on T1 weighted images, hyperintense on T2 wieghted images and showed
30
intense homogenous enhancement after contrast administration (figs 1 and 2). The
31
patient underwent total thoracal 5-6 laminectomy. Total excision was performed. The
32
pathological diagnosis was cavernous hemangioma.
33
hemangioma is a rare cause of back pain. Most epidural hemangiomas are secondary
Spinal epidural cavernous
Page 1 of 2
1
extensions from vertebral bodies. Pure epidural cavernous hemangioma of the spine
2
without vertebral involvement is rare.
3 4 5 6
Figure legend
7
Fig. 1 Epidural mass isointense on sagittal T1 weighted image (a), hyperintense on
8
sagittal T2 wieghted image (b), lies posterior to the spinal cord, deplacing the cord
9
anteriorly.
10
Fig. 2 The lesion shows homogenous enhancement after contrast administration on T1
11
axial (a) and sagittal (b) images.
12
Page 2 of 2
