Cervical spinal root cavernoma: case report and review

Br J Neurosurg. 2018 Aug;32(4):445-447. doi: 10.1080/02688697.2016.1229753. Epub 2016 Sep 16.

Abstract

Aim: Cavernous malformations in the spinal canal are rare. We review previous reports and present our own case of a cervical intradural extramedullary cavernoma, associated with a ventral cervical rootlet.

Methods: A 65 year old woman presented with radicular pain and paresthesias of the neck and right arm. PubMed search was used to compare her case to those previously published.

Results: The cavernoma was successfully removed with excellent recovery and no deficits. Histopathology confirmed the diagnosis.

Conclusion: Gross total resection of symptomatic lesions continues to be the recommended approach, and resection outcomes have restored function in all cases but one, where the deficit persisted.

Keywords: Cavernoma; cavernous malformation; cervical; cervical spine; dissection; laminectomy; surgery.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cervical Vertebrae / pathology
  • Cervical Vertebrae / surgery*
  • Female
  • Hemangioma, Cavernous, Central Nervous System / diagnostic imaging
  • Hemangioma, Cavernous, Central Nervous System / pathology
  • Hemangioma, Cavernous, Central Nervous System / surgery*
  • Humans
  • Magnetic Resonance Imaging
  • Neurosurgical Procedures
  • Pain / etiology
  • Paresthesia / etiology
  • Spinal Cord Neoplasms / diagnostic imaging
  • Spinal Cord Neoplasms / pathology
  • Spinal Cord Neoplasms / surgery*
  • Spinal Nerve Roots / pathology
  • Spinal Nerve Roots / surgery*
  • Treatment Outcome