Imaging of a thoracic spinal nerve haemangioblastoma by three-dimensional digital angiography.
Haemangioblastomas occur sporadically or in association with Von Hippel-Lindau (VHL) disease. Occasionally, they are associated with intrathecal cauda equina nerve roots and rarely with spinal nerve roots. The occurrence of a completely extrathecal, thoracic spinal nerve haemangioblastoma is exceptional, with only one case previously described in the English-language literature. We report an extradural thoracic spinal nerve haemangioblastoma in a patient with VHL disease causing a progressive thoracic radiculopathy. The advantages of three-dimensional digital angiography will be discussed. Three-dimensional reconstruction of the images acquired by rotational digital subtraction angiography is one of the most promising developments to improve surgical planning for complex vascular lesions.
Kern
Michael
M
Neurosurgical Service of Western Australia, Sir Charles Gairdner Hospital, G-Block, 1st Floor, Hospital Avenue, Nedlands, Western Australia 6009, Australia. michael_kern@gmx.de
Naeini
Ramin
R
Lehmann
Thomas N
TN
Benndorf
Goetz
G
D000328:Adult; D015901:Angiography, Digital Subtraction / Q000379:methods; D001158:Arteries / Q000473:pathology / Q000503:physiopathology; D005260:Female; D018325:Hemangioblastoma / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000503:physiopathology; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D007796:Laminectomy; D019635:Neurosurgical Procedures; D011843:Radiculopathy / Q000209:etiology* / Q000503:physiopathology; D013115:Spinal Canal / Q000473:pathology; D013125:Spinal Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000503:physiopathology; D013127:Spinal Nerves / Q000098:blood supply / Q000473:pathology*; D013904:Thoracic Vertebrae; D016896:Treatment Outcome