Abstract
A unique case of a 50-year-old woman with a conus medullaris hematomyelia associated with a low thoracic intradural-extramedullary cavernous angioma localized 2 cm above is reported. The patient had a 2-month history of progressive paraparesis, hypoesthesia of legs, and bowel and bladder disturbances. The symptoms worsened acutely during the last days before admission. A thoraco-lumbar MRI showed a space-occupying lesion at T10-T11 (vertebral interspace associated with a hematomyelia localized about 2 cm below. A T10-L1 laminectomy was performed and complete removal of both lesions was obtained with microsurgical technique. A non-traumatic hematomyelia should always prompt the suspicion of a spinal AVM or, more rarely, of a cavernous angioma. The possible anatomical and clinical correlations of this unusual association are discussed.
Original language | English |
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Pages (from-to) | 68-70 |
Number of pages | 3 |
Journal | Spinal Cord |
Volume | 37 |
Issue number | 1 |
Publication status | Published - 1999 |
Keywords
- Cavernous angioma
- Extramedullary neoplasm
- Hematomyelia
- Intradural
- MRI
- Spinal surgery
ASJC Scopus subject areas
- Clinical Neurology