[酷似哑铃形神经鞘瘤的腰骶部硬膜外毛细血管瘤：病例报告及文献复习]
[Lombosacral epidural capillary hemangioma mimicking a dumbbell-shaped neurinoma: A case report and review of the literature].
作者信息
Egu K, Kinata-Bambino S, Mounadi M, Rachid El Maaqili M, El Abbadi N
机构信息
Service de neurochirurgie, université Mohamed V, hôpital Ibn Sina, CHU Ibn-Sina, 10100 Rabat, Maroc.
Service de neurochirurgie, université Mohamed V, hôpital Ibn Sina, CHU Ibn-Sina, 10100 Rabat, Maroc.
出版信息
Neurochirurgie. 2016 Apr;62(2):113-7. doi: 10.1016/j.neuchi.2015.08.002. Epub 2015 Dec 21.
INTRODUCTION
Capillary hemangiomas are benign endothelial cell neoplasms that are believed to be hamartomatous proliferations of vascular endothelial cells. The occurrence of spinal epidural capillary hemangiomas is exceedingly rare. Only 8 epidurally located cases of capillary hemangiomas in the spinal canal have been reported in the literature.
CASE REPORT
We report for the first time, to our knowledge, a case of lumbosacral epidural capillary hemangioma revealed by S1 back pain and radicular pain in a 60-year-old patient, caused by an L5-S1 epidural capillary hemangioma. The neurological symptoms of the patient improved after surgery.
CONCLUSION
Spinal epidural capillary hemangioma is exceedingly rare. These lesions are benign and can mimic dumbbell-shaped neurinoma. Total removal by surgery is curative.
引言
毛细血管瘤是良性内皮细胞瘤，被认为是血管内皮细胞的错构瘤性增殖。脊髓硬膜外毛细血管瘤的发生极为罕见。文献中仅报道了8例椎管内硬膜外毛细血管瘤病例。
病例报告
据我们所知，我们首次报告了一例60岁患者因L5-S1硬膜外毛细血管瘤导致S1背痛和神经根性疼痛而发现的腰骶部硬膜外毛细血管瘤病例。患者术后神经症状有所改善。
结论
脊髓硬膜外毛细血管瘤极为罕见。这些病变是良性的，可类似哑铃形神经鞘瘤。手术完全切除可治愈。
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