Varshney Rahul, Singh Preeti, Deshpande Sumeet, Yadav Sandeep
Department of Neurosurgery, Dr Ram Manohar Lohia Hospital, New Delhi, India.
Department of Pathology, Dr Ram Manohar Lohia Hospital, New Delhi, India.
Surg Neurol Int. 2024 Jun 7;15:186. doi: 10.25259/SNI_261_2024. eCollection 2024.
Glomus tumors are very infrequent in the spine where they can grow intraosseously at any level. We were able to identify only eight such cases in the literature, with only one occurring in the sacrum. Here, a 48-year-old male with sacral S1/S2 radiculopathy was found to have a rare glomangioma/glomus tumor of the sacral region.
A 48-year-old male presented with left-sided S2 radiculopathy characterized by left lower extremity weakness/paresis. The magnetic resonance showed an intradural extramedullary mass measuring 1.8 × 1.9 × 4.3 cm at S1-S2 extending through the left foramen, inhomogeneously enhanced with contrast. He underwent an S1-S2 durotomy with gross total excision of the mass. Pathologically, it proved to be a glomus tumor. Two months postoperatively, he ambulated without the support and demonstrated no tumor recurrence at 1 postoperative year.
Glomus tumors involving the sacral region are rare and can be successfully excised resulting in good clinical outcomes.
血管球瘤在脊柱中非常罕见，可在任何水平的骨内生长。我们在文献中仅能找到8例此类病例，其中只有1例发生在骶骨。在此，一名患有骶骨S1/S2神经根病的48岁男性被发现患有罕见的骶骨区域血管球瘤/血管球瘤。
一名48岁男性出现左侧S2神经根病，表现为左下肢无力/轻瘫。磁共振成像显示在S1-S2水平有一个硬膜内髓外肿块，大小为1.8×1.9×4.3 cm，延伸至左侧椎间孔，增强扫描呈不均匀强化。他接受了S1-S2硬脊膜切开术并对肿块进行了全切。病理结果证实为血管球瘤。术后两个月，他无需支撑即可行走，术后1年未出现肿瘤复发。
累及骶骨区域的血管球瘤罕见，可通过手术成功切除，临床效果良好。
