Shukla Dinesh, Rao Vinjamuri Srinivasa, Rajesh Alugolu, Uppin Megha Shantveer, Purohit Anirrudh Kumar
Department of Neurosurgery, Nizam's Institute of Medical Sciences, Hyderabad, Andhra Pradesh, India.
J Neurosci Rural Pract. 2013 Apr;4(2):207-9. doi: 10.4103/0976-3147.112771.
A 52-year-old female presented with slowly progressive left lower limb polyradiculopathy. MRI of the lumbar region revealed an extradural dumbbell mass at L3 vertebral level, isointense on T1W and hyperintense on T2W images with homogenous contrast enhancement and extending into paraspinal region through left L3/4 foramen. L2 to L 4 left hemilaminectomy and excision of intraspinal part of tumor was performed. Histopathological examination revealed presence of cavernous hemangioma. This case is reported because of its rarity, unusual dumbbell shape of lesion and difficulty in making a preoperative diagnosis without a coexisting bone lesion.
一名52岁女性表现为缓慢进展的左下肢多发性神经根病。腰椎MRI显示L3椎体水平硬膜外哑铃形肿块,T1加权像上等信号,T2加权像上高信号,对比剂均匀强化,经左侧L3/4椎间孔延伸至椎旁区域。行L2至L4左侧半椎板切除术及肿瘤脊髓内部分切除术。组织病理学检查显示为海绵状血管瘤。报道此病例是因其罕见、病变呈不寻常的哑铃形且在无并存骨病变的情况下术前诊断困难。