Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Spinal Intradural Extramedullary Cavernoma Presenting with Intracranial Superficial Hemosiderosis

  • Jin, Yong-Jun (Department of Neurosurgery, Inje University Seoul Paik Hospital) ;
  • Chung, Sang-Bong (Department of Neurosurgery, Seoul National University Bundang Hospital) ;
  • Kim, Ki-Jeong (Department of Neurosurgery, Seoul National University Bundang Hospital) ;
  • Kim, Hyun-Jib (Department of Neurosurgery, Seoul National University Bundang Hospital)
  • Received : 2010.10.25
  • Accepted : 2011.05.30
  • Published : 2011.06.28
Download PDF
⟨ Previous Next ⟩

Abstract

A case of intradural extramedullary cavernous angioma is presented with headache, dizziness, and bilateral sensorineural hearing loss caused by an intracranial superficial hemosiderosis. It was incidentally found in a patient with a 3-month history of sustained headache, dizziness and a 3-year history of hearing difficulty. The neurological examination was unremarkable in the lower extremity. MR images showed an intracranial superficial hemosiderosis mostly in the cerebellar region. Myelography and MR images of the thoracolumbar spine revealed an intradural extramedullary mass, which was pathologically proven to be a cavernous angioma. T12 total laminoplastic laminotomy and total tumor removal were performed without any neurologic deficits. The patient's symptoms, including headache and dizziness, have been absent for three years. Intradural extramedullary cavernous angioma can present with an intracranial superficial hemosiderosis as a result of chronic subarachnoid hemorrhage.

Keywords

References

  1. Ayache D, Blaivie C, El Kohen A, Tosello L, Williams MT : Auditory manifestations of superficial hemosiderosis of the central nervous system. Eur Arch Otorhinolaryngol 264 : 701-704, 2007 https://doi.org/10.1007/s00405-006-0238-0
  2. Caroli E, Acqui M, Trasimeni G, Di Stefano D, Ferrante L : A case of intraroot cauda equina cavernous angioma : clinical considerations. Spinal Cord 45 : 318-321, 2007
  3. Cecchi PC, Rizzo P, Faccioli F, Bontempini L, Schwarz A, et al. : Intraneural cavernous malformation of the cauda equina. J Clin Neurosci 14 : 984-986, 2007 https://doi.org/10.1016/j.jocn.2006.06.015
  4. Cohen-Gadol AA, Atkinson PP, Krauss WE : Central nervous system superficial siderosis following spinal surgery. J Neurosurg Spine 2 : 206-208, 2005 https://doi.org/10.3171/spi.2005.2.2.0206
  5. Er U, Yigitkanli K, Simsek S, Adabag A, Bavbek M : Spinal intradural extramedullary cavernous angioma: case report and review of the literature. Spinal Cord 45 : 632-636, 2007 https://doi.org/10.1038/sj.sc.3101990
  6. Fearnley JM, Stevens JM, Rudge P : Superficial siderosis of the central nervous system. Brain 118 : 1051-1066, 1995 https://doi.org/10.1093/brain/118.4.1051
  7. Lemmerling M, De Praeter G, Mollet P, Mortele K, Dhooge I, Mastenbroek G, et al. : Secondary superficial siderosis of the central nervous system in a patient presenting with sensorineural hearing loss. Neuroradiology 40 : 312-314, 1998 https://doi.org/10.1007/s002340050591
  8. Linn J, Halpin A, Demaerel P, Ruhland J, Giese AD, et al. : Prevalence of superficial siderosis in patients with cerebral amyloid angiopathy. Neurology 74 : 1346-1350, 2010 https://doi.org/10.1212/WNL.0b013e3181dad605
  9. Kivelev J, Ramsey CN, Dashti R, Porras M, Tyyninen O, Hernesniemi J : Cervical intradural extramedullary cavernoma presenting with isolated intramedullary hemorrhage. J Neurosurg Spine 8 : 88-91, 2008 https://doi.org/10.3171/SPI-08/01/088
  10. Kumar A, Aggarwal S, Willinsky R, TerBrugge KG : Posterior fossa surgery : an unusual cause of superficial siderosis. Neurosurgery 32 : 455- 457;discussion 457, 1993 https://doi.org/10.1227/00006123-199303000-00019
  11. Kumar N, Cohen-Gadol AA, Wright RA, Miller GM, Piepgras DG, Ahlskog JE : Superficial siderosis. Neurology 66 : 1144-1152, 2006 https://doi.org/10.1212/01.wnl.0000208510.76323.5b
  12. Kumar N, Miller GM, Piepgras DG, Mokri B : A unifying hypothesis for a patient with superficial siderosis, low-pressure headache, intraspinal cyst, back pain, and prominent vascularity. J Neurosurg 113 : 97-101, 2010 https://doi.org/10.3171/2009.10.JNS091125
  13. Kurian KM, Tagkalakis P, Erridge SC, Ironside JW, Whittle IR : Primary intracranial angiosarcoma of the Pineal gland : an unusual cause of recurrent intraventricular haemorrhage and superficial haemosiderosis. Neuropathol Appl Neurobiol 32 : 557-561, 2006 https://doi.org/10.1111/j.1365-2990.2006.00762.x
  14. Oppenheimer DR, Griffith HB : Persistent intracranial bleeding as a complication of hemispherectomy. J Neurol Neurosurg Psychiatry 29 : 229-240, 1966 https://doi.org/10.1136/jnnp.29.3.229
  15. Rachinger J, Buslei R, Engelhorn T, Doerfler A, Strauss C : Intradural-extramedullary cavernous hemangioma of the left motor root C7--case report and update of the literature. Zentralbl Neurochir 67 : 144-148, 2006 https://doi.org/10.1055/s-2006-933362
  16. Ramos F Jr, de Toffol B, Aesch B, Jan M : Hydrocephalus and cavernoma of the cauda equina. Neurosurgery 27 : 139-142, 1990 https://doi.org/10.1227/00006123-199007000-00023
  17. Sabat SB : Intraventricular cavernous malformation with superficial siderosis. Arch Neurol 67 : 638-639, 2010 https://doi.org/10.1001/archneurol.2010.53
  18. Satow T, Yamada S, Yagi M, Saiki M : Superficial siderosis of the central nervous system after ventriculoperitoneal shunt. J Neurosurg 113 : 93-96, 2010 https://doi.org/10.3171/2009.11.JNS091228
  19. Yavagal DR, Geng D, Akar S, Buonanno F, Kesari S : Superficial siderosis of the central nervous system due to bilateral jugular vein thrombosis. Arch Neurol 67 : 1269-1271, 2010 https://doi.org/10.1001/archneurol.2010.255

Cited by

  1. Cauda Equina Intradural Extramedullary Cavernous Haemangioma: Case Report and Review of the Literature vol.53, pp.12, 2011, https://doi.org/10.2176/nmc.cr2012-0309
  2. Spinal Cavernous and Capillary Hemangiomas in Adults vol.38, pp.7, 2011, https://doi.org/10.1097/brs.0b013e318287fef7
  3. Spinal Intradural Extramedullary Cavernous Angioma Presenting with Superficial Siderosis and Hydrocephalus: A Case Report and Review of the Literature vol.53, pp.16, 2014, https://doi.org/10.2169/internalmedicine.53.2378
  4. Superficial Siderosis and Spinal Intradural Extramedullary Cavernous Angioma vol.53, pp.16, 2011, https://doi.org/10.2169/internalmedicine.53.2901
  5. Cavernous Angiomas of the Cauda Equina: Clinical Characteristics and Surgical Outcomes vol.54, pp.11, 2011, https://doi.org/10.2176/nmc.oa.2014-0115
  6. Coexistence of multiple cavernous angiomas in the spinal cord and skin: a unique case of Cobb syndrome : Case report vol.20, pp.2, 2014, https://doi.org/10.3171/2013.11.spine13419