SciELO - Scientific Electronic Library Online

 
vol.11 issue3Head support for spinal surgery: technical noteBrown-Séquard syndrome by double level cervical disc herniation: case report and review of the literature author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


Coluna/Columna

Print version ISSN 1808-1851

Abstract

AMATO, Marcelo Campos Moraes et al. Extra and intradural spinal Hemangioblastoma. Coluna/Columna [online]. 2012, vol.11, n.3, pp.242-244. ISSN 1808-1851.  http://dx.doi.org/10.1590/S1808-18512012000300013.

Hemangioblastomas of the central nervous system (CNS) are low-grade highly vascularized tumors that may be sporadic or associated with Von Hippel-Lindau disease. Extradural hemangioblastomas are uncommon and those located extra and intradurally are even rarer. This study uses an illustrative case and literature review to discuss the difficulties to consider the correct diagnosis and to select the best surgical approach. A 57 years-old white male patient presented with myelopathy and right C5 radiculopathy. The images showed a lobulated, hourglass shaped, highly enhanced extra/intradural lesion that occupied the spinal canal and widened the C4-C5 right intervertebral foramen. Total resection of the intradural lesion was achieved through a posterior approach, but the extradural part could only be partially removed. Complete improvement was observed after four months of follow-up and the residual tumor has been followed up clinically and radiologically. Even though the preoperative impression was of a spinal schwannoma, the histopathological examination revealed grade I hemangioblastoma as per WHO. Despite their rarity, current complementary exams allow considering the diagnosis of hemangioblastoma preoperatively. That is essential to a better surgical planning in view of the particular surgical features of this lesion.

Keywords : Hemangioblastoma; Spinal cord neoplasms; von Hippel-Lindau disease; Cervical vertebrae.

        · abstract in Portuguese | Spanish     · text in English     · English ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License