Primary Epidural Intraspinal Haemangiopericytoma

Abstract

Here, authors present a case report of a 25-year-old male who reported with low back pain with left lower limb radiculopathy for two years. Neurological examination revealed no focal neurological deficits, except for a positive Straight Leg Raise Test (SLRT) at 30°. Plain radiographs of the lumbar spine showed mild scalloping of the L3 vertebral body and Magnetic Resonance Imaging (MRI) lumbar spine showed an extradural space occupying lesion at the level of L3 vertebral body compressing the thecal sac and the left L3 nerve root. He underwent L2-4 median laminectomy without fusion and en bloc resection of the tumour. The histopathology was reported as a Haemangiopericytoma (HPC). Patient was referred for postoperative radiation therapy in view of high incidence of recurrence. Post radiation, at one year follow-up, MRI scan showed no signs of recurrence. Complete surgical removal of the tumour, followed by postoperative radiation therapy, appears to be the treatment of choice for such primary intraspinal haemangiopericytomas.

Keywords

• epidural
• intraspinal
• primary haemangiopericytoma