Sharma Manish S, Borkar Sachin A, Kumar Amandeep, Sharma M C, Sharma Bhawani S, Mahapatra Ashok K
Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi - 110 029, India.
J Neurosci Rural Pract. 2013 Jul;4(3):309-12. doi: 10.4103/0976-3147.118772.
A 40-year-old male presented with mid-thoracic backache and progressive, ascending, spastic, paraparesis for one year. Magnetic resonance imaging demonstrated an extraosseous, extradural mass, without any bone invasion at the T2-T4 vertebral levels, located dorsal to the thecal sac. The spinal cord was compressed ventrally. The lesion was totally excised after a T2-T4 laminectomy. Histopathological examination revealed a cavernous hemangioma. The authors reported this case and reviewed the literature, to explain why extraosseous, extradural, cavernous hemangiomas should be considered in the differential diagnosis of extradural thoracic compressive myelopathy.
一名40岁男性,出现胸中部背痛及进行性、上行性、痉挛性双下肢轻瘫1年。磁共振成像显示在T2 - T4椎体水平有一个硬膜外、骨外肿块,未侵犯任何骨质,位于硬脊膜囊背侧。脊髓腹侧受压。经T2 - T4椎板切除术后,病变被完全切除。组织病理学检查显示为海绵状血管瘤。作者报告了该病例并复习文献,以解释为何在硬膜外胸椎压迫性脊髓病的鉴别诊断中应考虑骨外、硬膜外海绵状血管瘤。