Korean J Spine.  2017 Jun;14(2):57-60. 10.14245/kjs.2017.14.2.57.

Intradural Extramedullary Capillary Hemangioma In the Upper Thoracic Spine with Simultaneous Extensive Arachnoiditis

• Lee JH
• Jeon I
• Kim SW

• KMID: 2386206
• DOI: http://doi.org/10.14245/kjs.2017.14.2.57

Abstract

Capillary hemangiomas are common benign vascular tumors on skin and soft tissues, but developing as an intradural and extramedullary (IDEM) tumor in spine is extremely rare. In this report, we present IDEM tumor compressing thoracic cord in T2-3 level with extensive arachnoiditis below the tumor level in a 60-year-old man. The lesion was removed and histological diagnosis was capillary hemangioma. Prompt diagnosis and resection are important to avoid neurological deterioration from acute hemorrhagic condition. Simultaneous arachnoiditis may be originated from old subarachnoid hemorrhage associated tumor before diagnosis, and we suggest it as a helpful diagnostic feature to suspect vascular tumors such as capillary hemangioma.

Keyword

Capillary hemangioma; Intradural extramedullary; Thoracic spine; Arachnoiditis

MeSH Terms

Arachnoid*
Arachnoiditis*
Capillaries*
Diagnosis
Hemangioma, Capillary*
Humans
Middle Aged
Skin
Spinal Cord
Spine*
Subarachnoid Hemorrhage