Hongfei Xiang1, Nana Shen2, Bohua Chen3, Xuexiao Ma4, Gang Xin5. 1. Department of Spine Surgery, The Affiliated Hospital of Qingdao University, 59# Haier Road, Qingdao, 266000, China. 2. Department of Rehabilitation, The Affiliated Hospital of Qingdao University, Qingdao, 266000, China. 3. Department of Spine Surgery, The Affiliated Hospital of Qingdao University, 59# Haier Road, Qingdao, 266000, China. bhchen@hotmail.com. 4. Department of Spine Surgery, The Affiliated Hospital of Qingdao University, 59# Haier Road, Qingdao, 266000, China. ma_xuexiao@126.com. 5. Blood Center of Wisconsin, 8733 Watertown Plank Road, Wauwatosa, WI, 53226, USA.
Abstract
PURPOSE: Typical hemangioma of cauda equina with relative clear margin has been described in some case reports, but atypical hemangioma with invasion, infiltration, and augmentation of all nerve roots in the cauda equina area has never been reported. In this paper, we reported a rare case with invasive hemangioma in cauda equina, and analyzed its radiological appearance and treatment. METHODS: We described an atypical case of hemangioma, which was revealed by MR and intraoperative photograph without clear margin and confirmed by histopathologic diagnosis. RESULTS: The patient was received radiotherapy (5400 cGy/25f/5w) and continued to be clinically in good condition with follow-up MR after 24 months without further surgery. CONCLUSIONS: Surgery may be the first management modality for hemangiomas with severe or progressive neurologic deficits, and radiotherapy may be an alternative therapy to treat hemangiomas according to accurate histopathologic diagnosis.
PURPOSE: Typical hemangioma of cauda equina with relative clear margin has been described in some case reports, but atypical hemangioma with invasion, infiltration, and augmentation of all nerve roots in the cauda equina area has never been reported. In this paper, we reported a rare case with invasive hemangioma in cauda equina, and analyzed its radiological appearance and treatment. METHODS: We described an atypical case of hemangioma, which was revealed by MR and intraoperative photograph without clear margin and confirmed by histopathologic diagnosis. RESULTS: The patient was received radiotherapy (5400 cGy/25f/5w) and continued to be clinically in good condition with follow-up MR after 24 months without further surgery. CONCLUSIONS: Surgery may be the first management modality for hemangiomas with severe or progressive neurologic deficits, and radiotherapy may be an alternative therapy to treat hemangiomas according to accurate histopathologic diagnosis.
Authors: M P Boncoeur-Martel; A Lesort; J J Moreau; F Labrousse; I Roche; P Bouillet; J L Pascaud; J P Dupuy Journal: J Comput Assist Tomogr Date: 1996 Jan-Feb Impact factor: 1.826
Authors: Reinhard Heyd; M Heinrich Seegenschmiedt; Dirk Rades; Cornelia Winkler; Hans T Eich; Frank Bruns; Georg Gosheger; Normann Willich; Oliver Micke Journal: Int J Radiat Oncol Biol Phys Date: 2009-08-21 Impact factor: 7.038