Intramedullary spinal cavernous malformations with high ossification: a case report and review of the literature

Abstract Background Cavernous malformations of the spinal cord are a rare type of vascular malformation, comprising approximately 5 to 16% of all vascular lesions in the spinal cord. Depending on their origin position, these malformations can be distributed in different locations within the spinal c...

Ausführliche Beschreibung

Bibliographische Detailangaben
Hauptverfasser: Weihao Liu, Chong Wang, Bo Wang, Yaowu Zhang, Wenqing Jia
Format: Artikel
Sprache:English
Veröffentlicht: BMC 2023-04-01
Schriftenreihe:Chinese Neurosurgical Journal
Schlagworte:
Online Zugang:https://doi.org/10.1186/s41016-023-00323-6
_version_ 1827961462571663360
author Weihao Liu
Chong Wang
Bo Wang
Yaowu Zhang
Wenqing Jia
author_facet Weihao Liu
Chong Wang
Bo Wang
Yaowu Zhang
Wenqing Jia
author_sort Weihao Liu
collection DOAJ
description Abstract Background Cavernous malformations of the spinal cord are a rare type of vascular malformation, comprising approximately 5 to 16% of all vascular lesions in the spinal cord. Depending on their origin position, these malformations can be distributed in different locations within the spinal canal. Although intramedullary cavernous malformations have been reported in the literature, they are exceedingly rare. Furthermore, highly calcified or ossified intramedullary cavernous spinal malformations are even rarer. Case presentation Here, we present a case report of a 28-year-old woman diagnosed with a thoracic intramedullary cavernous malformation. The patient had been experiencing progressive numbness in her distal limbs for a period of 2 months. During routine lung computed tomography screening for COVID-19, a hyperdense mass was noted in the patient’s spinal canal. Magnetic resonance imaging revealed a mulberry-shaped intramedullary mass at the T1-2 level. The patient underwent surgical treatment, during which the entire lesion was successfully removed, resulting in a gradual improvement of her symptoms. Histological examination confirmed the presence of cavernous malformations with calcification. Conclusions Intramedullary cavernous malformations with calcification are rare and special type that should be treated surgically in the early stage without significant neurological impairment before rebleeding or enlargement of the lesion can occur.
first_indexed 2024-04-09T16:25:59Z
format Article
id doaj.art-269b29cc0a204a65b8efc5c2059f1736
institution Directory Open Access Journal
issn 2057-4967
language English
last_indexed 2024-04-09T16:25:59Z
publishDate 2023-04-01
publisher BMC
record_format Article
series Chinese Neurosurgical Journal
spelling doaj.art-269b29cc0a204a65b8efc5c2059f17362023-04-23T11:09:52ZengBMCChinese Neurosurgical Journal2057-49672023-04-01911710.1186/s41016-023-00323-6Intramedullary spinal cavernous malformations with high ossification: a case report and review of the literatureWeihao Liu0Chong Wang1Bo Wang2Yaowu Zhang3Wenqing Jia4Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical UniversityDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical UniversityDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical UniversityDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical UniversityDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical UniversityAbstract Background Cavernous malformations of the spinal cord are a rare type of vascular malformation, comprising approximately 5 to 16% of all vascular lesions in the spinal cord. Depending on their origin position, these malformations can be distributed in different locations within the spinal canal. Although intramedullary cavernous malformations have been reported in the literature, they are exceedingly rare. Furthermore, highly calcified or ossified intramedullary cavernous spinal malformations are even rarer. Case presentation Here, we present a case report of a 28-year-old woman diagnosed with a thoracic intramedullary cavernous malformation. The patient had been experiencing progressive numbness in her distal limbs for a period of 2 months. During routine lung computed tomography screening for COVID-19, a hyperdense mass was noted in the patient’s spinal canal. Magnetic resonance imaging revealed a mulberry-shaped intramedullary mass at the T1-2 level. The patient underwent surgical treatment, during which the entire lesion was successfully removed, resulting in a gradual improvement of her symptoms. Histological examination confirmed the presence of cavernous malformations with calcification. Conclusions Intramedullary cavernous malformations with calcification are rare and special type that should be treated surgically in the early stage without significant neurological impairment before rebleeding or enlargement of the lesion can occur.https://doi.org/10.1186/s41016-023-00323-6Cavernous malformationSpinal cordIntramedullary tumorCalcification
spellingShingle Weihao Liu
Chong Wang
Bo Wang
Yaowu Zhang
Wenqing Jia
Intramedullary spinal cavernous malformations with high ossification: a case report and review of the literature
Chinese Neurosurgical Journal
Cavernous malformation
Spinal cord
Intramedullary tumor
Calcification
title Intramedullary spinal cavernous malformations with high ossification: a case report and review of the literature
title_full Intramedullary spinal cavernous malformations with high ossification: a case report and review of the literature
title_fullStr Intramedullary spinal cavernous malformations with high ossification: a case report and review of the literature
title_full_unstemmed Intramedullary spinal cavernous malformations with high ossification: a case report and review of the literature
title_short Intramedullary spinal cavernous malformations with high ossification: a case report and review of the literature
title_sort intramedullary spinal cavernous malformations with high ossification a case report and review of the literature
topic Cavernous malformation
Spinal cord
Intramedullary tumor
Calcification
url https://doi.org/10.1186/s41016-023-00323-6
work_keys_str_mv AT weihaoliu intramedullaryspinalcavernousmalformationswithhighossificationacasereportandreviewoftheliterature
AT chongwang intramedullaryspinalcavernousmalformationswithhighossificationacasereportandreviewoftheliterature
AT bowang intramedullaryspinalcavernousmalformationswithhighossificationacasereportandreviewoftheliterature
AT yaowuzhang intramedullaryspinalcavernousmalformationswithhighossificationacasereportandreviewoftheliterature
AT wenqingjia intramedullaryspinalcavernousmalformationswithhighossificationacasereportandreviewoftheliterature