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[Stereotactic radiotherapy of spinal hemangioblastoma].
Zh Vopr Neirokhir Im N N Burdenko
December 2024
Burdenko Neurosurgical Center, Moscow, Russia.
Hemangioblastoma (HAB) is a benign, richly vascularized tumor that accounts for 2-6% of all spinal cord neoplasms and ranks third in the structure of intramedullary space-occupying lesions of the spinal cord. Hemangioblastoma may occur sporadically or, in approximately 30% of cases, as part of the clinical picture of a hereditary disease, von Hippel-Lindau disease. The aim of this study was to evaluate the efficacy and safety of stereotactic irradiation of hemangioblastomas of the spinal localization in patients with sporadic and von Hippel-Lindau-associated hemangioblastomas The results of stereotactic radiotherapy were evaluation of 210 spinal hemangioblastomas in 74 patients.
View Article and Find Full Text PDFIntraoperative indocyanine green (ICG) videoangiography in spinal hemangioblastoma surgery - helpful tool or unnecessary?
Clin Neurol Neurosurg
January 2025
Department of Neurosurgery, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Background: Hemangioblastomas are highly vascularized tumors that may be associated with extensive architecture of the surrounding pathological vessels. The distinction between feeding arteries and draining veins is usually not obvious during microsurgical en-bloc tumor resection. The aim of this investigation is to provide recommendations in which hemangioblastomas intraoperative indocyanine green (ICG) videoangiography might be beneficial for safe en-bloc tumor resection.
View Article and Find Full Text PDFPresentation of lumbar intramedullary cavernous hemangioma by spindle-shaped hematoma sign on the spinal MRI: a case report.
J Med Case Rep
November 2024
Department of Neurology, Taiyuan Central Hospital, Shanxi Medical University, No.5, Three Lanes East Road, Taiyuan, 030000, China.
Article Synopsis
- Cavernous hemangioma is a rare congenital vascular lesion primarily found in the brain but can also occur in the spinal cord, as illustrated by a case involving a 34-year-old Chinese man with lumbar intramedullary cavernous hemangioma.
- The patient experienced lumbar intramedullary hemorrhage detected via MRI, and although he received conservative treatment with mannitol, there was no significant improvement in his condition.
- Surgical removal of the hematomas ultimately led to an improvement in the patient’s symptoms, highlighting the importance of considering lumbar intramedullary cavernous hemangioma in cases of early spinal cord hemorrhage with specific MRI findings.
Unusual Imaging Findings of Epithelioid Hemangioma: Case Report of Single Intramedullary Sclerotic Bone Lesion.
J Korean Soc Radiol
September 2024
Epithelioid hemangioma (EH) is an uncommon, benign vascular tumor of mesenchymal origin. It mainly presents as a tumor with a lytic appearance and septations. However, no case reports have documented the predominantly sclerotic appearance of EH.
View Article and Find Full Text PDFCauda Equina Cavernoma: A Case Report and Literature Review.
Cureus
August 2024
Neurosurgery, Hospital de Braga, Braga, PRT.
Article Synopsis
- Cavernous hemangiomas (cavernomas) are benign vascular malformations often found in the central nervous system, primarily in the brain, but can also occur in the spine, notably in the cauda equina, which is rare.
- A case study details a 69-year-old woman with low back pain and sciatica, where MRI revealed an intradural mass at the L1-L2 level, later confirmed as a cavernous hemangioma after surgical resection.
- The report includes a literature review on cauda equina cavernomas, covering their clinical symptoms, imaging features, histology, and surgical approaches.
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