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Illustrative resection of mixed intra- and extramedullary thoracic spinal cord capillary hemangioma.


ABSTRACT:

Background

Capillary hemangiomas are typically superficial benign tumors of the cutaneous and mucosal tissues of the face and neck in pediatric patients. In adults, they typically occur in middle-aged males who present with pain, myelopathy, radiculopathy, paresthesias, and bowel/bladder dysfunction. The optimal treatment for intramedullary spinal cord capillary hemangiomas is gross total/en bloc resection.

Methods

Here, we present a 63-year-old male with increasing right greater than left lower extremity numbness/ weakness, attributed to a T8-9 mixed intra- and extramedullary capillary hemangioma.

Results

One year following complete lesion resection, the patient used an assistive device to ambulate and continued to improve neurologically.

Conclusion

We presented a 63-year-old male whose paraparesis was attributed to a T8-9 mixed intra- and extramedullary capillary hemangioma who did well following total en bloc lesion resection. In addition to this case study/technical note, we provide a 2-D intraoperative video detailing the resection technique.

SUBMITTER: Protas M 

PROVIDER: S-EPMC10316201 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature

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Publications

Illustrative resection of mixed intra- and extramedullary thoracic spinal cord capillary hemangioma.

Protas Matthew M   Ojukwu Disep I DI   Draytsel Dan Y DY   Galgano Michael A MA  

Surgical neurology international 20230630


<h4>Background</h4>Capillary hemangiomas are typically superficial benign tumors of the cutaneous and mucosal tissues of the face and neck in pediatric patients. In adults, they typically occur in middle-aged males who present with pain, myelopathy, radiculopathy, paresthesias, and bowel/bladder dysfunction. The optimal treatment for intramedullary spinal cord capillary hemangiomas is gross total/<i>en bloc</i> resection.<h4>Methods</h4>Here, we present a 63-year-old male with increasing right g  ...[more]

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