Coluna/Columna ()

EXTRADURAL SPINAL CORD HEMANGIOBLASTOMA: A CASE REPORT AND LITERATURE REVIEW

  • Nikolay A. Konovalov,
  • Stanislav U. Timonin,
  • Lyudmila V. Shishkina,
  • Anton G. Nazarenko,
  • Dmitry A. Asyutin,
  • Roman O. Onoprienko,
  • Vasyli V. Korolishin,
  • Bahromhon A. Zakirov,
  • Maria M. Martynova,
  • Stanislav V. Kaprovoy,
  • Arthur L. Pogosyan,
  • Albert A. Batyrov,
  • Islam U. Cherkiev,
  • Evgeni S. Brenyk

DOI
https://doi.org/10.1590/s1808-185120181704200490
Journal volume & issue
Vol. 17, no. 4
pp. 333 – 336

Abstract

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ABSTRACT Objective: Hemangioblastoma is a rare vascular sporadically occurring CNS tumor that can be associated with von Hippel-Lindau disease. Hemangioblastomas account for 2-6% of all spinal cord neoplasms and rank third among intramedullary space-occupying lesions. Methods: This was the first time in our practice that we had dealt with paravertebral hemangioblastoma with the sandglass growth pattern. The world literature describes only 3 case of a tumor with this growth pattern. Surgical and diagnostic aspects of patient treatment are considered. Results: During the operation, we adhered to the following stages: localization of the feeding vessel and of the poles of the tumor, surface dissection of the tumor, en bloc resection of the tumor, and hemostasis of the tumor cavity. Conclusions: Hemangioblastoma of extradural localization is a very rare pathology. However, when MRI signs characteristic of a vascular lesion are identified, it is necessary to carry out additional examinations, which may include CT perfusion study and, if required, selective angiography. Level of Evidence 5; Case report.

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