Department of Neurosurgery, Chang Gung Memorial Hospital and University, 5 Fu-Shing Street, 333 Kweishan, Taoyuan, Taiwan.
J Clin Neurosci. 2010 Mar;17(3):387-9. doi: 10.1016/j.jocn.2009.03.049. Epub 2010 Jan 13.
Primary angiosarcoma of the spine is rare. To our knowledge, primary angiosarcoma in the posterior element of the spine has not been reported previously. A 39-year-old man suffered progressive numbness and paresis of the bilateral lower limbs. Neuroimaging showed a large dorsal extradural tumor compressing the spinal cord at the T11 level with bony destruction of the left foramen and posterior elements. Spinal angiography revealed a hypervascular tumor in the left T11 region. Successful preoperative endovascular embolization, laminectomy and removal of the tumor were performed.
脊柱原发性血管肉瘤较为罕见。据我们所知，此前尚未有报道过发生于脊柱后柱的原发性血管肉瘤。一名 39 岁男性患者出现进行性双下肢麻木和无力。神经影像学检查显示 T11 水平有一个大的背侧硬膜外肿瘤，压迫脊髓，同时伴有左侧椎间孔和后柱骨质破坏。脊柱血管造影显示左侧 T11 区域有一个富血管性肿瘤。成功地进行了术前血管内栓塞、椎板切除术和肿瘤切除。
