Kim Soo Bin, Cho Seung Bae, Lim Sehun
Department of Anesthesiology and Pain Medicine, Inje University Busan Paik Hospital, Busan, Korea.
Anesth Pain Med (Seoul). 2022 Oct;17(4):439-444. doi: 10.17085/apm.22128. Epub 2022 Apr 1.
Spinal intramedullary cavernous angioma is a rare form of spinal cord tumor that is associated with myelopathy and significant morbidity and surgical treatment is almost always required.
We report a case of spinal intramedullary cavernous angioma in a pain clinic with initial symptoms of unilateral interdigital space sensory change. Morton's neuroma and piriformis syndrome were clinically suspected, however, symptoms acutely aggravated, and paraplegia developed following the patient's COVID-19 vaccination. Vaccine-associated side effects were ruled out and spinal intramedullary cavernous angioma was confirmed through magnetic resonance image. The patient underwent surgery for complete mass excision.
Recent reports of COVID-19 vaccine-associated side effects have raised sensitive concerns to both health care providers and the public, that in some cases when the symptoms coincide with vaccination history, it may delay time-sensitive diagnosis and treatment and spend unnecessary costs.
脊髓内海绵状血管瘤是一种罕见的脊髓肿瘤形式，与脊髓病和显著的发病率相关，几乎总是需要手术治疗。
我们报告一例在疼痛门诊就诊的脊髓内海绵状血管瘤病例，最初症状为单侧指间间隙感觉改变。临床上怀疑为莫顿神经瘤和梨状肌综合征，然而，症状急剧加重，患者在接种新冠疫苗后出现截瘫。排除了疫苗相关副作用，通过磁共振成像确诊为脊髓内海绵状血管瘤。患者接受了手术以完全切除肿块。
最近关于新冠疫苗相关副作用的报道引起了医疗服务提供者和公众的高度关注，即在某些情况下，当症状与疫苗接种史相符时，可能会延迟对时间敏感的诊断和治疗，并产生不必要的费用。
