腰5/骶1单纯椎管内硬膜外型海绵状血管瘤1例并文献分析
| 作者: |
1何鹏,
1陈珍珍,
1周幸,
1丛宇,
1刘晓伟,
1郭国栋,
1徐海栋,
1毛广平,
1刘刚,
1许斌
1 解放军南京军区总医院骨科，南京 210008 |
| 通讯: |
许斌
Email: xuzongbin@hotmail.com |
| DOI: | 10.3978/j.issn.2095-6959.2018.04.035 |
| 基金: | 国家自然科学基金(81501925)；中国博士后面上基金项目(2016M593038)。 |
摘要
患者，女性，51岁，因“腰疼伴右下肢疼痛2年余，加重3个月”入院。腰椎MRI提示L5/S1水平椎管内腹侧、硬脊膜外呈稍长T1稍长T2信号占位性病变，增强后明显强化。手术探查发现肿块完全位于硬膜外腔，硬脊膜、椎体骨质无受累。肿块切除后组织病理学检查提示海绵状血管瘤，术后患者恢复良好。
关键词：
椎管内肿瘤；单纯硬膜外型；海绵状血管瘤；手术治疗
Pure spinal epidural cavernous hemangioma: A case report and literature review
CorrespondingAuthor: XU Bin Email: xuzongbin@hotmail.com
DOI: 10.3978/j.issn.2095-6959.2018.04.035
Foundation: This work was supported by the National Natural Science Foundation of China (81501925) and Chinese Postdoctoral Project Foundation (2016M593038).
Abstract
A 51-year-old woman presented with progressive numbness and weakness of both lower limbs is reported. MRI demonstrated a pure epidural lesion at L5/S1 space appearing as isointense on T1-weighted images with enhancement by contrast medium and hyperintense on T2-weighted images. The lesion was totally microsurgically removed. Histological examination revealed cavernous hemangioma. The patient made a good recovery after surgery.
Keywords：
spinal canal tumor; pure spinal epidural; cavernous hemangioma; surgical treatment