Case study of a spinal epidural capillary hemangioma: a 4-year postoperative follow-up.
Study Design Case study. Objectives We report the case of a 58-year-old Caucasian man, who presented with a 4-month history of increasing low back pain and gait difficulty. Objective neurologic examination revealed a severe paraparetic symptomatology without any sphincter involvement. Methods Spinal magnetic resonance imaging (MRI) showed an extradural mass formation situated dorsally at the level of thoracic vertebrae T2 to T4. Results A laminectomy was performed with total removal of the mass; histology suggested a highly vascularized lesion with lobular architecture, which seems a very rare case, compatible with a capillary hemangioma. Conclusions A careful follow-up for the next 4 years, including control MRIs every postoperative year, showed a very good neurologic condition of the patient and no recurrence on imaging findings.
Department of Neurology-Neurosurgery-Psychiatry, Faculty of Medicine, University of Tirana, Tirana, Albania.
Arsen
A
Seferi
Department of Neurology-Neurosurgery-Psychiatry, Faculty of Medicine, University of Tirana, Tirana, Albania.
Ridvan
R
Alimehmeti
Biomedical and Experimental Department, Faculty of Medicine, University of Tirana, Tirana, Albania.
Gentian
G
Vyshka
Department of Pathological Anatomy, Faculty of Medicine, University of Tirana, Tirana, Albania.
Teona
T
Bushati
Department of Neurology-Neurosurgery-Psychiatry, Faculty of Medicine, University of Tirana, Tirana, Albania.
Mentor
M
Petrela
capillary hemangioma; epidural mass; paraparesis; spinal cord