Abstract
Intramedullary capillary hemangiomas are common benign tumors in different locations; however, only 7 cases with involvement of central nervous system have been previously reported and near 20 cases with involvement of the central nervous system have been described. We report a 16 year old male who developed to cervical pain and muscle spasms. The magnetic resonance imaging revealed the presence of a cervical spinal cord injury suggesting a neoplastic lesion with a significant vascular component. The spinal cord lesion was resected and no extramedullary compromise was observed. Histopathological and immunohistochemical examinations confirmed the diagnosis of a capillary hemangioma.Only few cases of intramedullary capillary hemangiomas have been published, it is believed that there is an important under register. This condition represents a benign pathology with a good prognosis. Radiotherapy and chemotherapy is not required in this cases.
References
ENZINGER FM, WEISS SH. Benign Tumors and tumor-like lesions of blood vessels. In: Weiss SH, Goldblum JR eds. Enzinger and Weiss's soft tissue tumors, 3rd edn. St Louis: Mosby; 1995: 581-6.
RONCAROLI F, SCHEITHAUER BW, KRAUSS WE. Capillary hemangioma of the spinal cord. Report of four cases. J Neurosurg 2000; 93: 148-51.
HEM S, LANDRIEL F, HASDEU S, KITROSER M, PEÑA L, VECCHI E. Hemangioma capilar medular. Reporte de un caso y revisión de la literatura. Rev Argent Neuroc 2008; 22: 118-20.
IANELLI A, LUPI G, CASTAGNA M, VALLERIANI A, BECHERINI F. Intramedullary capillary hemangioma associated with hydrocephalus in an infant. J Neurosurg 2005; 103: 272-6.
MAWK JR, LEIBROCK LG, MCCOMB RD, TREMBATH EJ. Metameric capillary hemangioma producing complete myelographic block in an infant. Case Report. J Neurosurg 1987; 67: 456-9.
ABE M, TABUCHI K, TANAKA S, ET AL. Capillary hemangioma of the central nervous system. J Neurosurg 2004; 101: 73-81.
RONCAROLI F, SCHEITHAUER BW, DEEN HG. Multiple hemangiomas (hemangiomatosis) of the cauda equina and spinal cord. Case report. J Neurosurg 2000; 92: 229-32.
SHIN JH, LEE HK, JEON SR, PARK SH. Spinal intradural capillary hemangioma: MR Findings. AJNR Am J Neuroradiol 2000; 21: 954-6.
ANDALUZ N, BALKO MG, STANEK J, MORGAN C, SCHWETSCHENAU PR. Lobular capillary hemangioma of the spinal cord: case report and review of the literature. J Neurooncol 2002; 56: 261-4.
HIDA K, TADA M, IWASAKI Y, ABE H. Intramedullary disseminated capillary hemangioma with localized spinal cord swelling: case report. Neurosurgery 1993; 33: 1099-101.
KASUKURTHI R, RAY WZ, BLACKBURN SL, LUSIS EA, SANTIAGO P. Intramedullary capillary hemangioma of the thoracic spine: case report and review of the literature. Rare Tumors 2009; 1: 4-6.
NOWAK DA, WIDENKA DC. Spinal intradural capillary haemangioma: a review. Eur Spine J 2001; 10: 464-72.
RONCAROLI F, SCHEITHAUER BK, KRAUSS WE. Hemangioma of spinal nerve root. J Neurosurg 1999; 91: 175-80.
KELLEHER T, AQUILINA K, KEOHANE C, O'SULLIVAN MG. Intramedullary capillary haemangioma. Br J Neurosurg 2005; 19: 345-8.
KI JOON KIM, JI YOUNG LEE, SANG-HO LEE. Spinal intradural capillary hemangioma. Surg Neurol 2006: 66: 212-4.
MARQUES DE ALMEIDA, SARMENTO S, CORREJA LIMA DE ANDRADE R, EVALDO DE SOUSA NOBREGA, GONCALVES DA SILVA. Hemangioma capilar da medula. Arq Neuropsiquiatr 2004; 62: 357-9.
ABE M, MISAGO N, TANAKA S, TABUCHI K. Capillary hemangioma of the central nervous system: a comparative study with lobular capillary hemangioma of the skin. Acta Neuropathol 2005; 109: 151-8.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.