ABSTRACT
Primary spinal epidural cavernous hemangioma has been rarely reported in the literature. The authors report a case of spinal epidural cavernous hemangioma on C7-T3 in a 46-year-old man suffered from sensoirmotor impairment and gait disturbance. Based on the imaging characteristics and review of literatures, the roles of preoperative neuroradiological diagnosis and the need for complete surgical resection are discussed.
Subject(s)
Humans , Middle Aged , Diagnosis , Gait , Hemangioma, Cavernous , Neuroimaging , Thoracic VertebraeABSTRACT
A 65-year-old man presented with simple neurogenic claudication for 3 yea rs. He chronically used steroid (betamethasone) medication for about 6 yea rs due to prurigo simplex. Imaging studies(myelography, CT, and MRI ) showed circumferential constriction of the central thecal sac at L5 by excessive epidural fat. After decompressive laminectomy and debulking of fat tissue, the symptom was subsided. The authors reviewed the literature relevant to spinal epidural lipomatosis.
Subject(s)
Aged , Humans , Constriction , Laminectomy , Lipomatosis , Magnetic Resonance Imaging , PrurigoABSTRACT
Recently we experienced a soft tissue sarcoma originated in the spinal epidural space at upper sacral area and extending into intrapelvic area in a young male patient. It was diagnosed primary Ewing's sarcoma histologically. Ewing's sarcoma is usually found in long bones. But rarely discovered in an extraosseous area. So, spinal epidural Ewing's sarcoma is rare to be found. Only 6 cases were reported in the English literature until 1986. We present the case with review of literatures.
Subject(s)
Humans , Male , Epidural Space , Sarcoma , Sarcoma, EwingABSTRACT
Ewing's sarcoma, originating primarily in the spinal epidural space is exceptionally rare. There are only 6 case reports in English literature until 1986. We experienced a case of epidural Ewing's sarcoma originated in thoracic spinal canal at T6~T7 level with myelopathy. Initial neural decompression was very effective and complete recovery was achieved. But local recurrence occurred in relatively short follow up period(8 months). Subsequent radiotherapy showed us dramatic tumor regression and improvement of neurologic deficit. The problems that concerned in this tumor are its accurate diagnosis and appropriate therapeutic modality. We reviewed the literatures that deal with exceptional locations of Ewing's sarcoma and current therapeutic approaches with their outcomes.
Subject(s)
Decompression , Diagnosis , Epidural Space , Follow-Up Studies , Neurologic Manifestations , Radiotherapy , Recurrence , Sarcoma, Ewing , Spinal Canal , Spinal Cord DiseasesABSTRACT
Clinical experience with a rare case of sparganosis invading the spinal epidural space was reported with review of the literatures. A 58-year-old man who had food hakit of eating raw snakes was hospitalized with chief complaint of low back and left leg pain.