Pure epidural cavernous hemangioma of the cervical spine that presented with an acute sensory deficit caused by hemorrhage

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Authors: Byung-june Jo ; Sang-ho Lee ; Seung-eun Chung ; Sung-suk Paeng ; Hye-sung Kim ; Sang-wook Yoon ; Jeong-sik Yu

MeSH: Cervical Vertebrae ; Epidural Neoplasms/complications ; Epidural Neoplasms/diagnosis* ; Epidural Neoplasms/diagnostic imaging ; Epidural Space/diagnostic imaging ; Hemangioma, Cavernous, Central Nervous System/complications ; Hemangioma, Cavernous, Central Nervous System/diagnosis* ; Hemangioma, Cavernous, Central Nervous System/diagnostic imaging ; Hematoma, Epidural, Spinal/complications ; Hematoma, Epidural, Spinal/diagnosis* ; Hematoma, Epidural, Spinal/diagnostic imaging ; Humans ; Hyperesthesia/diagnosis* ; Hyperesthesia/etiology ; Male ; Middle Aged ; Tomography, X-Ray Computed

Keywords: Cavernous hemangioma ; spine ; magnetic resonance imaging ; epidural space

Abstract: Pure epidural cavernous hemangioma of the spine without vertebral involvement is rare. Due to the slow growth of this lesion, the most common symptoms are chronic pain, myelopathy, and radiculopathy. In our case, the patient complained of an acute onset sensory deficit of the C4 dermatome. An MRI revealed an epidural mass with an acute hematoma. Here, we report a case of a pure epidural cavernous hemangioma that presented with acute neurologic symptoms caused by intralesional hemorrhage and an acute epidural hematoma, which were demonstrated on the patient's MRI.