Thoracic Intra and Extramedullary Capillary Hemangioma with Subacute Clinical Course: A Case Report and Literature Review
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- YAMAMOTO Yumeki
- Department of Neurosurgery, Gunma University Graduate School of Medicine
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- SHIMAUCHI-OHTAKI Hiroya
- Department of Neurosurgery, Gunma University Graduate School of Medicine
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- HONDA Fumiaki
- Department of Neurosurgery, Gunma University Graduate School of Medicine
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- SHIRAKURA Takahiro
- Department of Human Pathology, Gunma University Graduate School of Medicine
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- ARAMAKI Keigo
- Department of Neurosurgery, Gunma University Graduate School of Medicine
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- SHINTOKU Ryosuke
- Department of Neurosurgery, Gunma University Graduate School of Medicine
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- MIYAGISHIMA Takaaki
- Department of Neurosurgery, Gunma University Graduate School of Medicine
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- AIHARA Masanori
- Department of Neurosurgery, Gunma University Graduate School of Medicine
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- YOKOO Hideaki
- Department of Human Pathology, Gunma University Graduate School of Medicine
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- YOSHIMOTO Yuhei
- Department of Neurosurgery, Gunma University Graduate School of Medicine
Abstract
<p>Capillary hemangiomas are benign tumors comprising a lobulated proliferation of capillary vessels frequently located in the soft tissues of the neck and head. Spinal intradural capillary hemangiomas are rare, particularly intramedullary lesions. To our knowledge, only 31 cases of spinal intramedullary capillary hemangiomas have been reported. Here, we describe a rare case of a thoracic capillary hemangioma comprising extramedullary and intramedullary components. A 51-year-old male patient presented with bilateral lower extremity numbness and subsequent paraparesis, sensory disturbance, and bladder-bowel dysfunction with a subacute clinical course. Magnetic resonance imaging revealed a mass lesion with intramedullary and intradural extramedullary components at the Th9-10 vertebrae level and widespread spinal cord edema. Contrast-enhanced computed tomography revealed abnormal vessels on the dorsal spinal cord surface. Spinal angiography revealed a light-stained mass lesion fed by the radiculopial artery from the right Th11 intercostal artery. The tumor was resected en bloc, and the histological diagnosis was a capillary hemangioma. Postoperatively, the spinal cord edema diminished, and the patient was discharged from the convalescent rehabilitation ward. Although intramedullary capillary hemangioma is a rare spinal tumor and its preoperative diagnosis is difficult, it should be considered in the differential diagnosis of spinal intramedullary tumors.</p>
Journal
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- NMC Case Report Journal
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NMC Case Report Journal 11 (0), 85-91, 2024-12-31
The Japan Neurosurgical Society
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Keywords
Details 詳細情報について
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- CRID
- 1390862654957460096
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- ISSN
- 21884226
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- Text Lang
- en
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- Data Source
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- JaLC
- Crossref
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- Abstract License Flag
- Disallowed