Subscribe to RSS
DOI: 10.1055/s-0041-1741047
Sporadic Intradural Extramedullary Hemangioblastoma of Cauda Equina with Large Peritumoral Cyst—A Rare Presentation
Abstract
Cauda equina intradural tumors commonly reported include ependymoma, schwannoma, neurofibroma, meningioma, and drop metastasis. Hemangioblastoma of the neural axis is a rare benign vascular tumor comprising only 1.6 to 6.4% of spinal tumors, and are usually associated with Von-Hippel Lindau disease. Sporadic intradural extramedullary hemangioblastoma involving cauda equina is very rare with only countable reports, and the presence of peritumoral cyst has been reported only once. We report one such case of hemangioblastoma with a large peritumoral cyst, which was diagnosed radiologically and confirmed by histopathology following surgical excision. Pertinent radiological characteristics, diagnostic clues, treatment, and surgical outcomes are discussed.
Financial Support and Sponsorship
Ganga Orthopedic Research and Education Foundation.
Publication History
Article published online:
10 January 2022
© 2022. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Blaty D, Malos M, Palmrose T, McGirr S. Sporadic intradural extramedullary hemangioblastoma of the cauda equina: case report and literature review. World Neurosurg 2018; 109: 436-441
- 2 Chu B-C, Terae S, Hida K, Furukawa M, Abe S, Miyasaka K. MR findings in spinal hemangioblastoma: correlation with symptoms and with angiographic and surgical findings. AJNR Am J Neuroradiol 2001; 22 (01) 206-217
- 3 Ishikawa E, Matsumura A, Matsumuru Y, Anno I. Proximal nerve root spinal hemangioblastomas: presentation of three cases, MR appearance, and literature review. Surg Neurol 2004; 62 (03) 278-279 , author reply 279
- 4 Sporadic hemangioblastoma of cauda equina: An atypical case report. In: Surg. Neurol. Int. https://surgicalneurologyint.com/surgicalint-articles/sporadic-hemangioblastoma-of-cauda-equina-an-atypical-case-report/. Accessed November 19, 2021
- 5 Sporadic hemangioblastoma of the film terminale with peritumoral cyst. In: Surg. Neurol. Int. https://surgicalneurologyint.com/surgicalint-articles/sporadic-hemangioblastoma-of-the-film-terminale-with-peritumoral-cyst/. Accessed November 19, 2021
- 6 Browne TR, Adams RD, Roberson GH. Hemangioblastoma of the spinal cord. Review and report of five cases. Arch Neurol 1976; 33 (06) 435-441
- 7 Gade PS, Velho V, Naik H, Bhople L. Sporadic hemangioblastoma of the filum terminale: case report and review of literature. Romanian Neurosurg 2018; 32: 496-501
- 8 Ciappetta P, Occhiogrosso G, Domenicucci M, D'Andrea G, Bastianello S, Frati A. Hemangioblastoma of the filum terminale. Case report and review of the literature. J Exp Clin Cancer Res 2007; 26 (02) 281-285
- 9 Sergides IG, Wainwright KL, Biggs M. Incidental hemangioblastoma of the filum terminale. Acta Neurol Belg 2009; 109 (01) 55-56
- 10 Fuller GN. The WHO classification of tumours of the central nervous system. 4th Edition. Arch Pathol Lab Med 2008; 132: 906
- 11 Lee JH, Kim JU, Paeng SS, Jang JS, Lee SH. Solitary hemangioblastoma at the filum terminale: a case report and review of literature. Korean J Spine 2011; 8: 125-128
- 12 Biondi A, Ricciardi GK, Faillot T, Capelle L, Van Effenterre R, Chiras J. Hemangioblastomas of the lower spinal region: report of four cases with preoperative embolization and review of the literature. AJNR Am J Neuroradiol 2005; 26 (04) 936-945
- 13 Baker KB, Moran CJ, Wippold II FJ. et al. MR imaging of spinal hemangioblastoma. AJR Am J Roentgenol 2000; 174 (02) 377-382
- 14 Cyst With a Mural Nodule Tumor of the Brain - PubMed. https://pubmed.ncbi.nlm.nih.gov/22935908/ . Accessed November 19, 2021
- 15 Savardekar A, Singla N, Mohindra S, Ahuja CK, Gupta SK. Cystic spinal schwannomas: a short series of six cases. Can we predict them preoperatively?. Surg Neurol Int 2014; 5 (Suppl. 07) S349-S353
- 16 Parmar H, Patkar D, Gadani S, Shah J. Cystic lumbar nerve sheath tumours: MRI features in five patients. Australas Radiol 2001; 45 (02) 123-127
- 17 Netra R, Hui MS, Gang MZ, Ming Z. Spinal cystic schwannoma: an MRI evaluation. J Coll Physicians Surg Pak 2014; 24 (02) 145-147
- 18 Totally Cystic Intradural Schwannoma in Thoracic Region - PubMed. https://pubmed.ncbi.nlm.nih.gov/28413556/ . Accessed November 19, 2021
- 19 Brisman JL, Borges LF, Ogilvy CS. Extramedullary hemangioblastoma of the conus medullaris. Acta Neurochir (Wien) 2000; 142 (09) 1059-1062
- 20 Zussman B, Penn D, Jeyamohan S, Werner-Wasik M, Andrews MDDW, Harrop J. Multi-modality management of an intradural-extramedullary hemangioblastoma: a case report. JHN J 2011; 6 DOI: 10.29046/JHNJ.006.1.007.