Pure epidural cavernous hemangioma of the cervical spine that presented with an acute sensory deficit caused by hemorrhage.
Pure epidural cavernous hemangioma of the spine without vertebral involvement is rare. Due to the slow growth of this lesion, the most common symptoms are chronic pain, myelopathy, and radiculopathy. In our case, the patient complained of an acute onset sensory deficit of the C4 dermatome. An MRI revealed an epidural mass with an acute hematoma. Here, we report a case of a pure epidural cavernous hemangioma that presented with acute neurologic symptoms caused by intralesional hemorrhage and an acute epidural hematoma, which were demonstrated on the patient's MRI.
Jo
Byung-June
BJ
Department of Diagnostic Radiology, Woordul Spine Hospital, Seoul, Korea. jbj135@hanafos.com
Lee
Sang-Ho
SH
Chung
Seung-Eun
SE
Paeng
Sung-Suk
SS
Kim
Hye-Sung
HS
Yoon
Sang-Wook
SW
Yu
Jeong-Sik
JS
D002574:Cervical Vertebrae; D015174:Epidural Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D004824:Epidural Space / Q000000981:diagnostic imaging; D020786:Hemangioma, Cavernous, Central Nervous System / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D046748:Hematoma, Epidural, Spinal / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D006941:Hyperesthesia / Q000175:diagnosis* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed