硬脊膜内髓外颈段海绵状血管瘤
Intradural extramedullary cervical cavernoma.
作者信息
Gader Ghassen, Mansour Wiem, Kharrat Mohamed Ali, Hdhili Houssem, Chelly Ines, Bahri Kamel, Zammel Ihsèn
机构信息
Department of Neurosurgery, Trauma and Burns Center, Ben Arous, Tunisia.
Department of Pathology, La Rabta Hospital, Tunis, Tunisia.
出版信息
Surg Neurol Int. 2024 Aug 23;15:294. doi: 10.25259/SNI_542_2024. eCollection 2024.
BACKGROUND
Spinal cavernomas (SCs) account for about 5% of all spinal vascular malformations. Intradural SCs occur in just 3% of cases and are typically intramedullary.
CASE DESCRIPTION
A 58-year-old female presented with progressive left occipital neuralgia, left cervicobrachial neuralgia, and paresthesia of all four extremities. The magnetic resonance imaging (MRI) revealed an intradural extramedullary C2-C4 lesion causing significant spinal cord compression. Gross total tumor excision was accomplished through a midline laminectomy pathologically; the lesion proved to be a cavernoma. The postoperative follow-up MRI obtained 4 months postoperatively showed complete tumor resection.
CONCLUSION
A 58-year-old female successfully underwent gross total excision of a C2-C4 intradural extramedullary SC.
背景
脊髓海绵状血管瘤（SCs）约占所有脊髓血管畸形的5%。硬脊膜内SCs仅占病例的3%，且通常位于髓内。
病例描述
一名58岁女性出现进行性左枕部神经痛、左颈臂神经痛以及四肢感觉异常。磁共振成像（MRI）显示硬脊膜内髓外C2 - C4处有一病变，导致脊髓明显受压。通过中线椎板切除术在病理上实现了肿瘤全切；该病变经证实为海绵状血管瘤。术后4个月的随访MRI显示肿瘤已完全切除。
结论
一名58岁女性成功接受了C2 - C4硬脊膜内髓外SCs的全切手术。
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