Moriuchi S, Shimizu K, Yamada M, Sakurai M, Mogami H
Department of Neurosurgery, Osaka University Medical School.
No Shinkei Geka. 1989 May;17(5):477-9.
A case is reported of repeated hematomyelia caused by cavernous hemangioma in the spinal cord. A 47-year-old woman first noticed a sudden onset of numbness in her thigh and then it gradually disappeared. Four months after the onset, she began to experience weakness and numbness in both of her legs, and difficulty in voiding and defecating. She recovered gradually for several months, but felt numbness in both legs. Myelography showed swelling at Th5 level. T2-weighted MRI showed a reticulated core of mixed intensity with rims of decreased intensity. During the subsequent operation, a dark brown lesion was detected at Th5 level, which consisted of multicystic cavities with old hematoma. But there were no abnormal vessels, or active bleeding. This lesion was almost completely removed and was diagnosed as cavernous hemangioma.
报告了一例由脊髓海绵状血管瘤引起的反复脊髓出血病例。一名47岁女性最初注意到大腿突然出现麻木,随后逐渐消失。发病四个月后,她开始出现双腿无力和麻木,以及排尿和排便困难。她在几个月内逐渐康复,但仍感到双腿麻木。脊髓造影显示胸5水平肿胀。T2加权磁共振成像显示一个混合强度的网状核心,边缘强度降低。在随后的手术中,在胸5水平发现一个深褐色病变,由多房性囊肿和陈旧性血肿组成。但没有异常血管或活动性出血。该病变几乎被完全切除,诊断为海绵状血管瘤。