Intramedullary hemorrhage caused by spinal cord hemangioblastoma: a case report

BMC Research Notes

Takeo Furuya²  Osamu Ikeda²  Masaaki Aramomi²  Masashi Yamazaki⁴  Masazumi Murakami¹  Tsuneji Kita³  Takashi Itabashi³  Chikato Mannoji¹  Masao Koda² 

[1] Department of Orthopedic Surgery, Chiba Aoba Municipal Hospital, 1-8-1, Inohana, Chuo-K, Chiba 260-8670, Japan;Department of Orthopedic Surgery, Chiba University Graduate School of Medicine, Chiba Aoba Municipal Hospital, Chiba, Japan;Department of Orthopedic Surgery, Narita Red Cross Hospital, Chiba, Japan;Department of Orthopedic Surgery, University of Tsukuba, Tsukuba, Japan

关键词: Spinal cord;    Intramedullary hemorrhage;    Hemangioblastoma;   

Others  :  1118396
DOI  :  10.1186/1756-0500-7-823

 received in 2014-09-02, accepted in 2014-11-11,  发布年份 2014

【 摘 要 】

Background

Hemorrhage caused by spinal cord hemangioblastoma is rare, usually presenting as a subarachnoid hemorrhage. Intramedullary hemorrhage is an extremely rare manifestation of spinal cord hemangioblastoma.

Case presentation

Forty-year-old Japanese male patient presented with acute paraplegia. Magnetic resonance (MR) imaging of the spinal cord revealed intramedullary hemorrhage. An intramedullary mass lesion was detected at the 8th thoracic vertebral level (T8) in a gadolinium enhanced-MR image. Spinal angiography revealed an intramedullary tumor stain at the level of T8. Therefore we diagnosed the problem as intramedullary hemorrhage caused by the hemangioblastoma. One month after the onset, extirpation of the intramedullary hemangioblastoma was performed. The tumor was completely removed. Pathological findings revealed a typical hemangioblastoma. At his final follow-up visit, the patient showed no apparent neurological recovery.

Conclusion

Hemangioblastoma can be a cause of intramedullary hemorrhage should be considered in such cases.

【 授权许可】

   
2014 Koda et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]De San Pedro JR, Rodríguez FA, Níguez BF, Sánchez JF, López-Guerrero AL, Murcia MF, Vilar AM: Massive hemorrhage in hemangioblastomas: literature review. Neurosurg Rev 2010, 33:11-26.
• [2]Sharma GK, Kucia EJ, Spetzler RF: Spontaneous intramedullary hemorrhage of spinal hemangioblastoma: case report. Neurosurgery 2009, 65:E627-E628. discussion E628
• [3]Yu JS, Short MP, Schumacher J, Chapman PH, Harsh GR 4th: Intramedullary hemorrhage in spinal cord hemangioblastoma. Report of two cases. J Neurosurg 1994, 81:937-940.
• [4]Steiger HJ, Turowski B, Hanggi D: Prognostic factors for the outcome of surgical and conservative treatment of symptomatic spinal cord cavernous malformations: a review of a series of 20 patients. Neurosurg Focus 2010, 29:E13. doi:10.3171/2010.6.FOCUS10123