Hemangioblastoma of the Cauda Equina : A Case Report and Review of the Literature

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  • Fujii Yugen
    Department of Orthopedics, Tokushima University, Tokushima, Tokushima, Japan
  • Nishisho Toshihiko
    Department of Orthopedics, Tokushima University, Tokushima, Tokushima, Japan
  • Tezuka Fumitake
    Department of Orthopedics, Tokushima University, Tokushima, Tokushima, Japan
  • Iwanami Akio
    Department of Orthopedics, Tokushima University, Tokushima, Tokushima, Japan Department of Orthopaedic Surgery, Spine Center, Koga Hospital, Koga, Ibaraki, Japan
  • Yamashita Kazuta
    Department of Orthopedics, Tokushima University, Tokushima, Tokushima, Japan
  • Toki Shunichi
    Department of Orthopedics, Tokushima University, Tokushima, Tokushima, Japan
  • Morimoto Masatoshi
    Department of Orthopedics, Tokushima University, Tokushima, Tokushima, Japan
  • Sugiura Kosuke
    Department of Orthopedics, Tokushima University, Tokushima, Tokushima, Japan
  • Sakai Toshinori
    Department of Orthopedics, Tokushima University, Tokushima, Tokushima, Japan
  • Maeda Toru
    Department of Orthopedics, Tokushima University, Tokushima, Tokushima, Japan
  • Sairyo Koichi
    Department of Orthopedics, Tokushima University, Tokushima, Tokushima, Japan

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<p>Introduction : Hemangioblastoma in the spine mainly occurs at the cervical and thoracic levels and is often associated with von Hippel-Lindau (VHL) syndrome. Here, we reported a quite rare case of spinal sporadic hemangioblastoma arising from the cauda equina. Case presentation : A 66-year-old woman presented with a 5-year history of low back and leg pain. Imaging revealed a hypervascular intradural extramedullary tumor in the lumbar region. Preoperative angiography helped to identify the feeding arteries and draining vein, and so facilitated subsequent tumor resection. The pain was dramatically improved but weakness of the left tibialis anterior and left extensor hallucis longus muscles persisted. Discussion : We reported a rare case of spinal hemangioblastoma arising from the cauda equina. Preoperative angiography may be useful for diagnosis and understanding of the anatomy of feeding veins. J. Med. Invest. 69 : 312-315, August, 2022</p>

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