J Korean Neurosurg Soc.  2015 Jul;58(1):72-75. 10.3340/jkns.2015.58.1.72.

Thoracic Extradural Cavernous Hemangioma Mimicking a Dumbbell-Shaped Tumor

• Jeong WJ
• Choi I
• Seong HY
• Roh SW

• KMID: 2067108
• DOI: http://doi.org/10.3340/jkns.2015.58.1.72

Abstract

Dumbbell-shaped spinal extradural cavernous hemangioma is rare. The differential diagnosis of dumbbell-shaped spinal tumors based on magnetic resonance imaging includes schwannoma and lymphoma. Here, we report a dumbbell-shaped spinal extradural cavernous hemangioma with intrathoracic growth on T2-3 in a 64-year-old man complaining of right side infrascapular area back pain with no neurologic deficit. The cavernous hemangioma was resected through combined video-assisted thoracoscopy and laminectomy without a fusion procedure. The patient had tolerable operative wound pain with no neurologic deficit after surgery. Based on magnetic resonance imaging findings and a review of the literature, we discuss cavernous hemangioma among the differential diagnosis of paravertebral dumbbell-shaped spinal tumors and the importance of complete resection.

Keyword

Hemangioma; Cavernous; Extradural Tumor; Spine

MeSH Terms

Back Pain
Diagnosis, Differential
Hemangioma
Hemangioma, Cavernous*
Humans
Laminectomy
Lymphoma
Magnetic Resonance Imaging
Middle Aged
Neurilemmoma
Neurologic Manifestations
Spine
Thoracoscopy
Wounds and Injuries