Paraplegia due to epidural T3-T5 hemorrhage of cavernous hemangioma.

Surgical neurology international Pub Date : 2025-07-25 eCollection Date: 2025-01-01 DOI:10.25259/SNI_504_2025
Ghassen Gader, Emna Mzoughi, Olfa Faten, Alia Zehani, Mouna Rkhami, Ihsèn Zammel
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Abstract

Background: Epidural cavernous hemangiomas (ECHs) are rare, benign vascular malformations. They account for 4% of all epidural lesions, and 5-12% of all spinal vascular malformations. Acute hemorrhages into extra-hepatic components may cause the acute onset of major neurological deficits.

Case description: A 70-year-old male presented with 3 months of progressive paraparesis. The magnetic resonance showed a compressive epidural T3-T5 lesion that was successfully removed. The lesion proved histopathologically to be a benign cavernous angioma.

Conclusion: For patients presenting with progressive myelopathy, early diagnosis and timely surgical resection of benign spinal epidural cavernous angiomas are critical to optimize outcomes.

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海绵血管瘤硬膜外T3-T5出血致截瘫。
背景:硬膜外海绵状血管瘤(ECHs)是一种罕见的良性血管畸形。它们占所有硬膜外病变的4%,占所有脊髓血管畸形的5-12%。急性出血进入肝外成分可引起急性发作的主要神经功能缺损。病例描述:一名70岁男性,表现为3个月进行性麻痹。磁共振显示硬膜外压缩T3-T5病变已成功切除。病理证实为良性海绵状血管瘤。结论:对于进行性脊髓病患者,早期诊断和及时手术切除良性脊髓硬膜外海绵状血管瘤是优化预后的关键。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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