Solitary Hemangioblastoma at the Filum Terminale: A Case Report and Review of Literature
Korean Journal of Spine
; : 125-128, 2011.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-225548
Responsible library:
WPRO
ABSTRACT
Spinal hemangioblastomas at the filum terminale are rare. Only a few reports present immunohistopathological features of spinal hemangioblastomas. A 55-year-old woman presented with sustained low back pain and intermittent numbness in both lower extremities. She already had a decompressive surgery for a left L5-S1 extraforaminal lesion 7 months ago. Her incidental mass lesion had been slightly enlarged for 7 months and concordant symptoms had also been prolonged. Her tumor was removed en bloc with a unilateral hemilaminotomy and bilateral decompression technique. The patient's symptoms improved immediately after the surgery. In immunohistochemical stains, the stromal cells were positive for inhibin-alpha, neuron specific enolase (NSE), and the endothelial cells were positive for CD31, CD34, and factor VIII related antigen in confirming the diagnosis of hemangioblastoma. We report a rare case of intradural extramedullary spinal hemangioblastoma at the filum terminale. Complete en bloc resection was achieved with no morbidity. The immunohistopathological staining include inhibin-alpha confirmed an accurate diagnosis of the hemangioblastoma distinguishing from other vascular tumors.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Phosphopyruvate Hydratase
/
Von Willebrand Factor
/
Cauda Equina
/
Stromal Cells
/
Low Back Pain
/
Hemangioblastoma
/
Lower Extremity
/
Decompression
/
Endothelial Cells
/
Coloring Agents
Limits:
Female
/
Humans
Language:
English
Journal:
Korean Journal of Spine
Year:
2011
Document type:
Article