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Case Study of a Spinal Epidural Capillary Hemangioma: A 4-Year Postoperative Follow-Up

机译:脊髓硬膜外毛细血管瘤的病例研究:术后4年随访

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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. Keywords: capillary hemangioma, epidural mass, spinal cord, paraparesis
机译:研究设计案例研究。目的我们报告了一个58岁的白人男子的病例,该男子有4个月的下背部疼痛和步态困难加重病史。客观的神经系统检查显示存在严重的旁Parparetic症状,没有括约肌受累。方法脊柱磁共振成像(MRI)显示硬膜外肿块形成于胸椎T2至T4的背侧。结果行椎板切除术,完全清除肿块。组织学提示具有小叶结构的高度血管化病变,这似乎非常罕见,与毛细血管血管瘤相容。结论在接下来的4年中进行了认真的随访,包括术后每隔一年进行MRI检查,结果显示患者的神经系统状况良好,影像学检查无复发。关键词:毛细血管血管瘤,硬膜外肿块,脊髓,截瘫

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