Cavernous angiomas of the spinal district: Surgical treatment of 11 patients

R. Padovani, N. Acciarri, M. Giulioni, R. Pantieri, M. P. Foschini

Research output: Contribution to journalArticle

Abstract

Cavernous angiomas, also called cavernous malformations or cavernomas, are vascular hamartomas accounting for 3-16% of all angiomatous lesions of the spinal district. Although histologically identical, these vascular anomalies may exhibit different clinical behavior and radiological features, depending on their location, hinting at different managements and therapeutic approaches. The authors report 11 cases of symptomatic spinal cavernous angiomas diagnosed and surgically treated over the past 18 years. Age of patients ranged from 15-75 years; males outnumbered females. Three patients had vertebral cavernous malformations, secondarily invading the epidural space; two had pure epidural lesions; two patients had intradural extramedullary lesions, and four intramedullary lesions. Surgical removal was completely achieved in four patients with intramedullary lesions, in two with subdural extramedullary lesions, and in one with a pure epidural lesion. Subtotal excision of another one epidural and three vertebral cavernous angiomas was followed by radiotherapy. There was no morbidity related to surgery; the mean follow-up was 2 years. The outcome was excellent in two cases, good in six, and unchanged in the other three. The authors discuss the different modalities of treatment of these vascular lesions variously placed along the spine.

Original languageEnglish
Pages (from-to)298-303
Number of pages6
JournalEuropean Spine Journal
Volume6
Issue number5
DOIs
Publication statusPublished - 1997

Keywords

  • Cavernoma
  • Cavernous angioma
  • Cavernous malformation
  • Spine
  • Surgical treatment

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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