Cavernous hemangiomas are a benign lesion that can affect any parth of the neurax. However, pure lumbar extradural localization is not common. Their ethiopatogenesis is uncertain and still debated but actually, they are considered as congenital vascular malformations. The clinical presentation is not specific, they can simulate any expansive process of the epidural space which makes the condition difficult to the preoperative diagnosis. Although unusual and in front of its eventual complications, foraminal cavernous hemangioma deserves to be considered in the differential diagnosis with spinal epidural soft tissue masses particularly those dumbbell shaped. Magnetic Resonance Imaging (MRI) is the chosen technique in the positive diagnosis and can help to evaluate the relationship of the lesion with surrounding anatomic structures to avoid intra-operative incidents. Total removal of the lesion, as early as possible, is the optimum treatment preserving the prognosis. We report a case of a patient suffering from lombosciatalgia secondary to a lumbar spinal extradural cavernous hemangioma. The purpose of this study is to highlight through this observation the role of magnetic resonance imaging in the diagnosis of this unusual cavernoma’s localization.
Cite this paper
Fakir, S. E. , Idrissi, M. O. , Arharas, S. , Amenzouy, F. , Belhadj, Z. , Boutakioute, B. and Ganouni, N. C. I. (2020). A Rare Cause of Lumbosciatialgia: Foraminal Lumbar Cavernous Hemangioma. Open Access Library Journal, 7, e6042. doi: http://dx.doi.org/10.4236/oalib.1106042.
Kuytu, T., Aydin, T. and Türeyen, K. (2017) Spinal Epidural Cavernous Hemangioma: Case Report. British Journal of Neurosurgery, 32, 577-578. https://doi.org/10.1080/02688697.2017.1297365
Nagi, S., et al. (2004) Imaging Features of Spinal Epidural Cavernous Malformations. Journal of Neuroradiology, 31, 208-213. https://doi.org/10.1016/S0150-9861(04)96993-3
Gao, C.P., Xu, W.J., Ji, Q.L., Duan, F., Cui, J.F. and Liu, H. (2018) Spinal Epidural Cavernous Hemangioma: A Clinical Series of 7 Patients. World Neurosurgery, 111, 183-191. https://doi.org/10.1016/j.wneu.2017.12.006
Sanghvi, D., Munshi, M., Kulkarni, B. and Kumar, A. (2010) Dorsal Spinal Epidural Cavernous Hemangioma. Journal of Crani-overtebral Junction and Spine, 1, 122-126. https://doi.org/10.4103/0974-8237.77677
Bahalpha, B., Nèdri, O.D. and Le-peintre, J.F. (2015) Cavernome extradural lombaire: étude d’une observation et revue de la littérature. AJNS, 34, 1992-2647.
Goyal, A., Singh, A.K., Gupta, V. and Tatke, M. (2002) Spinal Epidural Cavernous Haemangioma: A Case Report and Review of Literature. Spinal Cord, 40, 200-202. https://doi.org/10.1038/sj.sc.3101248
Lee, J.W., Cho, E.Y., Hong, S.H., Chung, H.W., Kim, J.H., Chang, K.-H., Choi, J.-Y., Yeom, J.-S. and Kang, H.S. (2007) Spinal Epidural Hemangiomas: Various Types of MR Imaging Features with Histopathologic Correlation. American Journal of Neuroradiology, 28, 1242-1248. https://doi.org/10.3174/ajnr.A0563