Nakano Yoshiteru
   Department   School of Medicine  Neurosurgery, Clinical Medical Sciences
   Position  
Article types case reports
Language English
Peer review Peer reviewed
Title Intrasyrinx hemorrhage associated with hemangioblastoma in epiconus.
Journal Formal name:The spine journal : official journal of the North American Spine Society
Abbreviation:Spine J
ISSN code:18781632/15299430
Volume, Issue, Page 9(5),e10-3頁
Author and coauthor Yamamoto Junkoh, Takahashi Mayu, Akiba Daisuke, Soejima Yoshiteru, Nakano Yoshiteru, Aoyama Yuichi, Korogi Yukunori, Nishizawa Shigeru
Publication date 2009/05
Summary BACKGROUND CONTEXT:Hemangioblastomas in the central nervous system are highly vascular lesions, but have low risk of hemorrhage. In spinal lesions, there are a few rare cases of intramedullary hemorrhages associated with hemangioblastoma, and their prognoses were very severe.PURPOSE:This is the first case of an intrasyrinx hemorrhage associated with hemangioblastoma in epiconus. We report this rare case and discuss the clinical manifestations of intrasyrinx hemorrhage caused by hemangioblastoma in epiconus.STUDY DESIGN:A case report.METHODS:This case report presents a 45-year-old woman with intrasyrinx hemorrhage caused by hemangioblastoma in epiconus. The patient presented with a sudden onset of burning bilateral leg pain and rectal/bladder dysfunction, indicating conus medullaris syndrome. Initial magnetic resonance imaging revealed an intramedullary nodular lesion in the epiconus and holocord syringomyelia. However, follow-up magnetic resonance imaging showed intramedullary hemorrhage.RESULTS:The patient underwent surgery, and an intrasyrinx hematoma was evacuated and the tumor was completely removed. Histological diagnosis was hemangioblastoma. Three months after surgery, the patient recovered from neurological deficits.CONCLUSIONS:We present this rare case, and emphasize hemangioblastoma as the differential diagnosis in hemorrhagic spinal lesion.
DOI 10.1016/j.spinee.2008.08.012
PMID 18922743