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...
Hauptverfasser: | , , , , |
---|---|
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 |