Anesth Pain Med.  2022 Oct;17(4):439-444. 10.17085/apm.22128.

Spinal intramedullary cavernous angioma patient in a pain clinic - A case report -

• Kim SB
• Cho SB
• Lim S

• KMID: 2535344
• DOI: http://doi.org/10.17085/apm.22128

Abstract

Background
Spinal intramedullary cavernous angioma is a rare form of spinal cord tumor that is associated with myelopathy and significant morbidity and surgical treatment is almost always required. Case: We report a case of spinal intramedullary cavernous angioma in a pain clinic with initial symptoms of unilateral interdigital space sensory change. Morton’s neuroma and piriformis syndrome were clinically suspected, however, symptoms acutely aggravated, and paraplegia developed following the patient’s COVID-19 vaccination. Vaccine-associated side effects were ruled out and spinal intramedullary cavernous angioma was confirmed through magnetic resonance image. The patient underwent surgery for complete mass excision.
Conclusions
Recent reports of COVID-19 vaccine-associated side effects have raised sensitive concerns to both health care providers and the public, that in some cases when the symptoms coincide with vaccination history, it may delay time-sensitive diagnosis and treatment and spend unnecessary costs.

Keyword

Cavernoma; Cavernous angioma; COVID-19 vaccination; Myelopathy; Spinal cord tumor