Phi Nguyen, Phu An Huynh, Tra My Ton Nu, Minh Huynh Quang Bui, Nhu Phuc Tran, Van Tri Truong
{"title":"腰椎神经根海绵状畸形。","authors":"Phi Nguyen, Phu An Huynh, Tra My Ton Nu, Minh Huynh Quang Bui, Nhu Phuc Tran, Van Tri Truong","doi":"10.25259/SNI_227_2025","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Intradural extramedullary (IDEM) cavernomas are rare vascular lesions that sometimes needs surgery. However, there has been little information about the surgical strategy for these lesions.</p><p><strong>Case description: </strong>A 39-year-old male presented with 1 month of left lumbosciatalgia. The magnetic resonance imaging was consistent with either an L4 IDEM neurofibroma or a meningioma. At surgery, we encountered a red-oval encapsulated lesion firmly adhered to the L4 nerve root, which was totally excised along with the root itself. Notably, postoperatively, the patient exhibited no new neurological deficit.</p><p><strong>Conclusion: </strong>IDEM cavernoma is rare but should always be a differential diagnosis for other common IDEM lesions. A total excision of an IDEM cavernoma and sacrification of the involved nerve root seem to be a reasonable option.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"152"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065481/pdf/","citationCount":"0","resultStr":"{\"title\":\"Cavernous malformation in the lumbar nerve rootlet.\",\"authors\":\"Phi Nguyen, Phu An Huynh, Tra My Ton Nu, Minh Huynh Quang Bui, Nhu Phuc Tran, Van Tri Truong\",\"doi\":\"10.25259/SNI_227_2025\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Intradural extramedullary (IDEM) cavernomas are rare vascular lesions that sometimes needs surgery. However, there has been little information about the surgical strategy for these lesions.</p><p><strong>Case description: </strong>A 39-year-old male presented with 1 month of left lumbosciatalgia. The magnetic resonance imaging was consistent with either an L4 IDEM neurofibroma or a meningioma. At surgery, we encountered a red-oval encapsulated lesion firmly adhered to the L4 nerve root, which was totally excised along with the root itself. Notably, postoperatively, the patient exhibited no new neurological deficit.</p><p><strong>Conclusion: </strong>IDEM cavernoma is rare but should always be a differential diagnosis for other common IDEM lesions. A total excision of an IDEM cavernoma and sacrification of the involved nerve root seem to be a reasonable option.</p>\",\"PeriodicalId\":94217,\"journal\":{\"name\":\"Surgical neurology international\",\"volume\":\"16 \",\"pages\":\"152\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-04-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065481/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Surgical neurology international\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.25259/SNI_227_2025\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical neurology international","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.25259/SNI_227_2025","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
Cavernous malformation in the lumbar nerve rootlet.
Background: Intradural extramedullary (IDEM) cavernomas are rare vascular lesions that sometimes needs surgery. However, there has been little information about the surgical strategy for these lesions.
Case description: A 39-year-old male presented with 1 month of left lumbosciatalgia. The magnetic resonance imaging was consistent with either an L4 IDEM neurofibroma or a meningioma. At surgery, we encountered a red-oval encapsulated lesion firmly adhered to the L4 nerve root, which was totally excised along with the root itself. Notably, postoperatively, the patient exhibited no new neurological deficit.
Conclusion: IDEM cavernoma is rare but should always be a differential diagnosis for other common IDEM lesions. A total excision of an IDEM cavernoma and sacrification of the involved nerve root seem to be a reasonable option.
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