BMC research notes · 2014
Intramedullary hemorrhage caused by spinal cord hemangioblastoma: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Koda Masao, Mannoji Chikato, Itabashi Takashi, Kita Tsuneji, Murakami Masazumi, Yamazaki Masashi, Aramomi Masaaki, Ikeda Osamu, Furuya Takeo
Аннотация
BACKGROUND: Hemorrhage caused by spinal cord hemangioblastoma is rare, usually presenting as a subarachnoid hemorrhage. Intramedullary hemorrhage is an extremely rare manifestation of spinal cord hemangioblastoma.
CASE PRESENTATION: Forty-year-old Japanese male patient presented with acute paraplegia. Magnetic resonance (MR) imaging of the spinal cord revealed intramedullary hemorrhage. An intramedullary mass lesion was detected at the 8th thoracic vertebral level (T8) in a gadolinium enhanced-MR image. Spinal angiography revealed an intramedullary tumor stain at the level of T8. Therefore we diagnosed the problem as intramedullary hemorrhage caused by the hemangioblastoma. One month after the onset, extirpation of the intramedullary hemangioblastoma was performed. The tumor was completely removed. Pathological findings revealed a typical hemangioblastoma. At his final follow-up visit, the patient showed no apparent neurological recovery.
CONCLUSION: Hemangioblastoma can be a cause of intramedullary hemorrhage should be considered in such cases.
CASE PRESENTATION: Forty-year-old Japanese male patient presented with acute paraplegia. Magnetic resonance (MR) imaging of the spinal cord revealed intramedullary hemorrhage. An intramedullary mass lesion was detected at the 8th thoracic vertebral level (T8) in a gadolinium enhanced-MR image. Spinal angiography revealed an intramedullary tumor stain at the level of T8. Therefore we diagnosed the problem as intramedullary hemorrhage caused by the hemangioblastoma. One month after the onset, extirpation of the intramedullary hemangioblastoma was performed. The tumor was completely removed. Pathological findings revealed a typical hemangioblastoma. At his final follow-up visit, the patient showed no apparent neurological recovery.
CONCLUSION: Hemangioblastoma can be a cause of intramedullary hemorrhage should be considered in such cases.