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Yim, Lee, Park, Lee, Park, and Paik: Spinal Capillary Hemangioma Involving the Lumbar Epidural and Paraspinal Spaces: A Case Report
Neuroradiology

Journal of the Korean Society of Radiology 2015; 73(1): 36-39.

Published online: 24 June 2015

DOI: https://doi.org/10.3348/jksr.2015.73.1.36

Spinal Capillary Hemangioma Involving the Lumbar Epidural and Paraspinal Spaces: A Case Report

Bongguk Yim, MD1, Young-Jun Lee, MD1, Dong Woo Park, MD2, Ji Young Lee, MD1, Chan Kum Park, MD3, Seung Sam Paik, MD3

1Department of Radiology, Hanyang University Medical Center, Hanyang University College of Medicine, Seoul, Korea.

2Department of Radiology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Seoul, Korea.

3Department of Pathology, Hanyang University Medical Center, Hanyang University College of Medicine, Seoul, Korea.

Corresponding author: Young-Jun Lee, MD. Department of Radiology, Hanyang University Medical Center, Hanyang University College of Medicine, 222-1 Wangsimni-ro, Seongdong-gu, Seoul 133-817, Korea. Tel. 82-2-2290-9153, Fax. 82-2-2290-2111, yjleeee@hanyang.ac.kr

Received 22 November 2014       Accepted 1 March 2015

Copyright © 2015 The Korean Society of Radiology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Spinal capillary hemangiomas in the epidural space are extremely rare; however, a preoperative radiological diagnosis is very important because of the risk of massive intraoperative hemorrhage. We report a case of a spinal capillary hemangioma involving the lumbar epidural and paraspinal spaces.

Keywords: Capillary Hemangioma, Epidural Space, Paraspinal Space, Rare Disease

Figures and Tables

Fig. 1

Lumbar MRI of a 54-year-old man presenting lower extremity weakness. A Dumbbell-shaped mass involving both epidural and paraspinal space is noted. On T2-weighted axial image (A), hemorrhagic and cystic portion of the mass are shown as a low signal intensity area (arrowhead) and a high signal intensity area (arrow), respectively. On pre-contrast axial T1-weighted image (B), the mass is generally iso-intense to adjacent muscle with some heterogeneity. On post-contrast axial T1-weighted image (C), the mass enhances well with areas of non-enhancement suggesting hemorrhagic (arrowhead) and cystic portion (arrow). At anterior aspect of paraspinal mass, partially infiltrative portion is noted (double arrow).

jksr-73-36-g001
Fig. 2

A photograph show numerous, tightly packed, capillary size vessels (arrows) that were lined by a single layer of cytologically benign endothelial cells (arrowheads) (H&E, × 400 section).

jksr-73-36-g002

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