J Korean Neurosurg Soc.  2011 Jun;49(6):377-380. 10.3340/jkns.2011.49.6.377.

Spinal Intradural Extramedullary Cavernoma Presenting with Intracranial Superficial Hemosiderosis

• Jin YJ
• Chung SB
• Kim KJ
• Kim HJ

• KMID: 2066840
• DOI: http://doi.org/10.3340/jkns.2011.49.6.377

Abstract

A case of intradural extramedullary cavernous angioma is presented with headache, dizziness, and bilateral sensorineural hearing loss caused by an intracranial superficial hemosiderosis. It was incidentally found in a patient with a 3-month history of sustained headache, dizziness and a 3-year history of hearing difficulty. The neurological examination was unremarkable in the lower extremity. MR images showed an intracranial superficial hemosiderosis mostly in the cerebellar region. Myelography and MR images of the thoracolumbar spine revealed an intradural extramedullary mass, which was pathologically proven to be a cavernous angioma. T12 total laminoplastic laminotomy and total tumor removal were performed without any neurologic deficits. The patient's symptoms, including headache and dizziness, have been absent for three years. Intradural extramedullary cavernous angioma can present with an intracranial superficial hemosiderosis as a result of chronic subarachnoid hemorrhage.

Keyword

Cavernous angioma; Spinal cord tumor; Superficial hemosiderosis

MeSH Terms

Dizziness
Headache
Hearing
Hearing Loss, Sensorineural
Hemangioma, Cavernous
Hemosiderosis
Humans
Laminectomy
Lower Extremity
Myelography
Neurologic Examination
Neurologic Manifestations
Spinal Cord Neoplasms
Spine
Subarachnoid Hemorrhage