DUMBBELL-SHAPED EPIDURAL CAPILLARY HEMANGIOMA, CASE REPORT AND REVIEW OF THE LITERATURE

Document Type : Case reports: all new cases, rare cases, interesting cases can be reported.

Author

Orthopedic dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Abstract

Background: Hemangiomas are benign vascular hamartomas. Spinal epidural capillary hemangiomas
(SECH) are rare and dumbbell-shaped SECH are even extremely rare. The complete surgical excision is
the treatment of choice, yet this represents a dilemma as the mass is usually discovered late in big size.
Case Description: A 55years old woman presented with incomplete spastic paraplegia (ASIA type III) 3
months ago. MRI showed a right-sided dumbbell-shaped mass against the 3rd to the 5th thoracic vertebrae. The
mass was resected through a single stage posterior approach with hemilamenectomy and costotransve
rsectomy. Histopathologic examination showed epidural capillary hemangioma. Conclusions: Dumbbellshaped SECH is extremely rare lesion but should be considered in the differential diagnosis of a mass in
this location. Single-stage posterior approach described in this report is a good surgical method for
removing dumbbell tumor with large intrathoracic component without necessitating thoracotomy

Keywords

Egyptian Journal of Orthopedic Research
Volume 3, Issue 2
December 2022
Pages 41-45

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