Department of Neurosurgery, The Second Affiliated Hospital of Nanchang University, Nanchang, People's Republic of China.
J Spinal Cord Med. 2020 Sep;43(5):719-722. doi: 10.1080/10790268.2018.1547855. Epub 2018 Nov 26.
Cases of migratory spinal tumors have been reported since 1963. Most involve spinal schwannomas, which are benign tumors of the lining of nerve cells. We report a rare case of a mobile spinal hemangioblastoma, which is a type of benign vascular tumor. A 50-year-old man visited the hospital for painful swelling in his lower back. An MRI scan indicated that a lesion was at the L5 vertebral level. Two weeks later, however, an enhanced MRI showed that the lesion had migrated to the L4 vertebral level. During surgery, the location of the lesion remained consistent with the enhanced MRI reviewed. The histopathological diagnosis was hemangioblastoma. This is the first known report of a mobile spinal hemangioblastoma. Mobile spinal hemangioblastoma requires careful preoperative and intraoperative evaluation of its real-time location to avoid performing surgery at the wrong vertebral level.
自 1963 年以来，已有报道称出现了游走性脊髓肿瘤病例。大多数涉及脊神经鞘瘤，这是一种神经细胞衬里的良性肿瘤。我们报告了一例罕见的移动性脊髓血管母细胞瘤，这是一种良性血管肿瘤。 一名 50 岁男性因下背部疼痛肿胀而就诊。磁共振成像 (MRI) 扫描表明病变位于 L5 椎体水平。然而，两周后，增强 MRI 显示病变已迁移至 L4 椎体水平。手术过程中，病变位置与复查的增强 MRI 一致。组织病理学诊断为血管母细胞瘤。 这是首例已知的移动性脊髓血管母细胞瘤报告。移动性脊髓血管母细胞瘤需要仔细的术前和术中实时位置评估，以避免在错误的椎骨水平进行手术。
