Tunthanathip Thara, Rattanalert Sanguansin, Oearsakul Thakul, Kanjanapradit Kanet
Department of Surgery, Neurosurgical Unit, Prince of Songkla University, Songkhla, Thailand.
Department of Pathology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
Asian J Neurosurg. 2017 Jul-Sep;12(3):556-562. doi: 10.4103/1793-5482.148793.
Hemangiomas have rarely been found in the spinal cord. A few cases of spinal capillary hemangioma have been reported since 1987. The authors reported the two cases of capillary hemangioma including the tumor at conus medullaris and the another mimicked von Hippel-Lindau disease. A 15-year-old man was presented with coccydynia and left leg pain. A magnetic resonance imaging (MRI) revealed an intradural extramedullary enhancing mass at conus medullaris. Another case, a 31-year-old man was presented with a history of familial history of brain tumor, retinal hemangioma both eyes, multiple pancreatic cyst and syringobulbia with syringohydromyelia. On MRI, a well-circumscribed intramedullary nodule was detected at C5-6 level and multiple subpial nodule along cervicothoracic spinal cord. All patients underwent surgery, and the histological diagnosis confirmed capillary hemangioma. Although rare and indistinguishable from other tumors, capillary hemangioma should be in the differential diagnosis of the spinal cord tumor.
脊髓海绵状血管瘤罕见。自1987年以来,已有少数脊髓毛细血管瘤病例报告。作者报告了两例毛细血管瘤病例,其中一例肿瘤位于脊髓圆锥,另一例类似von Hippel-Lindau病。一名15岁男性表现为尾骨痛和左腿疼痛。磁共振成像(MRI)显示脊髓圆锥硬膜内髓外强化肿块。另一例,一名31岁男性有脑肿瘤家族史、双眼视网膜血管瘤、多个胰腺囊肿以及伴有脊髓空洞症的延髓空洞症病史。MRI显示C5-6水平有一个边界清晰的髓内结节以及颈胸段脊髓多处软膜下结节。所有患者均接受了手术,组织学诊断证实为毛细血管瘤。尽管罕见且与其他肿瘤难以区分,但毛细血管瘤应列入脊髓肿瘤的鉴别诊断。