Management of Spinal Cord Cavernous Haemangioma

Mohamed Al Barbarawi, Suhair Qudsieh, Hana Qudsieh

Abstract


Cavernous haemangioma (CH) is a vascular malformation described as sinusoidal vascular channels
located within the neural tissue but lacking intervening neural elements. Although spinal cord is not a
frequent site for these lesions, the spinal cord cavernous haemangioma is currently encountered more
frequently with magnetic resonance imaging. Management of both symptomatic and asymptomatic
intramedullary cavernous haemangioma is a matter of debate as these lesions may cause a devastating
spinal cord dysfunction. We present a young patient with thoracic intramedullary cavernous
haemangioma who first presented with two episodes of transient paraparesis before he had a major
intramedullary bleeding that rendered him in paraparesis and incontinence. We emphasize to consider
early surgical resection as soon as possible to prevent potentially irreversible spinal cord damage
secondary to a large or recurrent small bleedings.

Keywords


Cavernous haemangioma (CH), intramedullary, haemosiderin, surgical removal.

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