Abstract:
Capillary hemangiomas, usually found in skin and mucosal tissues, are rarely encountered within the spinal cord, presenting a significant diagnostic challenge. We report a rare case of intradural extramedullary capillary hemangioma at the conus medullaris in a 66-year-old female patient. Our initial diagnosis leaned towards a cystic hemangioblastoma based on MRI findings due to the presence of cystic formation with an enhanced mural nodule. However, surgical exploration and subsequent pathological examination revealed the lesion as a capillary hemangioma. To the authors\' knowledge, this case may represent the first documented instance of a spinal capillary hemangioma that mimics a cystic hemangioblastoma.
摘要:
毛细血管瘤,通常在皮肤和粘膜组织中发现,很少在脊髓内遇到,提出了重大的诊断挑战。我们报告了一名66岁女性患者的脊髓圆锥硬膜内髓外毛细血管瘤的罕见病例。由于存在囊性形成和壁结节增强,因此根据MRI发现,我们的初步诊断倾向于囊性血管母细胞瘤。然而,手术探查和随后的病理检查显示病变为毛细血管血管瘤。就作者所知,该病例可能是首次有文献记载的脊髓毛细血管瘤,其模拟囊性血管母细胞瘤。