脊髓硬膜内毛细血管瘤。
Spinal intradural capillary hemangioma.
作者信息
Kim Ki Joon, Lee Ji Young, Lee Sang-Ho
机构信息
Department of Neurosurgery, Wooridul Spine Hospital, Kangnam-Gu, Seoul 135-100, Korea.
出版信息
Surg Neurol. 2006 Aug;66(2):212-4. doi: 10.1016/j.surneu.2005.11.018.
BACKGROUND
Capillary hemangiomas are typically superficial lesions found in the skin or mucosa of the head and neck, but intradural locations are rare. We report a case of the spinal intradural capillary hemangioma of the lumbar spine with a review of the pertinent literature.
CASE DESCRIPTION
A 59-year-old man presented with a 3-month history of low back pain and left leg pain. On examinations, the patient was shown to have paresthesia in the left L4, L5, and S1 dermatome and a diminution of the left knee jerk. Magnetic resonance imaging revealed an approximately 2-cm intradural enhancing lesion at the level of the L1-2 disk space. Laminectomy of L1-2 was performed for tumor removal. A reddish mass was covered by matted adherent nerve roots and derived its blood supply from radicular vessels. Complete excision was accomplished. Histologic diagnosis was capillary hemangioma. After operation, the patient's symptoms were improved.
CONCLUSION
We experienced a rare spinal intradural vascular tumor of the lumbar spine. Histologic diagnosis was capillary hemangioma. We report a rare case of spinal intradural capillary hemangioma of the lumbar spine.
背景
毛细血管瘤通常是位于头颈部皮肤或黏膜的浅表病变，但硬膜内病发部位罕见。我们报告一例腰椎硬膜内毛细血管瘤病例，并对相关文献进行回顾。
病例描述
一名59岁男性，有3个月的腰痛和左腿疼痛病史。检查发现，患者左侧L4、L5和S1皮节感觉异常，左膝反射减弱。磁共振成像显示L1-2椎间盘水平硬膜内有一约2厘米的强化病变。行L1-2椎板切除术以切除肿瘤。一个红色肿物被缠结粘连的神经根覆盖，其血供来自根血管。肿物被完整切除。组织学诊断为毛细血管瘤。术后患者症状改善。
结论
我们遇到了一例罕见的腰椎硬膜内血管肿瘤。组织学诊断为毛细血管瘤。我们报告了一例罕见的腰椎硬膜内毛细血管瘤病例。
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