Ahmed Naureen Farhan, Mubarak Fatima, Sajjad Nida
Department of Radiology, Aga Khan University Hospital, Karachi, Pakistan.
Department of Radiology, Aga Khan University Hospital, Karachi.
J Pak Med Assoc. 2017 Aug;67(8):1278-1279.
Intramedullary cavernomas are rare lesions constituting 5 to 12% of all intramedullary tumours. They are more recognized after introduction of magnetic resonance imaging and detection rates have improved by advance techniques. They may be solitary or multiple or may have associated cranial lesions. They may present with gradual neurological decline or with acute loss of spinal function. In addition neurological deficit depends on the location of the lesion within the spinal cord. We are reporting the case of a 45 year old male who presented with neck pain and progressive right arm weakness with numbness. MRI cervical spine with contrast showed intramedullary lesion with peripheral T2 hypointense rim and extralesional haemorrhage consistent with cavernoma. Patient underwent successful surgery and his symptoms markedly improved with mild residual grip weakness in right hand.
髓内海绵状血管瘤是罕见的病变，占所有髓内肿瘤的5%至12%。自磁共振成像技术引入后，它们得到了更多的认识，先进技术提高了其检出率。它们可能是单发或多发，也可能伴有颅脑病变。它们可能表现为渐进性神经功能衰退或急性脊髓功能丧失。此外，神经功能缺损取决于病变在脊髓内的位置。我们报告一例45岁男性患者，其表现为颈部疼痛、右上肢进行性无力伴麻木。颈椎磁共振成像增强扫描显示髓内病变，周边有T2低信号环及病变外出血，符合海绵状血管瘤表现。患者接受了成功的手术，症状明显改善，右手仅遗留轻度握力减弱。
