Biomaterial Database

Spinal cord intramedullary cavernoma: A case report. 2013

Ester H See-Sebastian, and E Robert Marks

Department of Family Medicine, Wheeling Hospital, Wheeling, WV, USA.

BACKGROUND Spinal Cord Intramedullary Cavernoma is a rare disease. It is a vascular disorder composed of capillary-liked vessels without intervening neurons within a spinal lesion. It may only be discovered incidentally or may be diagnosed after a neurologic deficit. Patients may present with weakness which could mimic other neurologic pathology. METHODS A case of a 65 year old with history of hypertension and diabetes mellitus. He had previous microdissectomy of the lumbar L4-L5 disc. He presented with progressive lower leg paresis, urinary retention and obstipation. An MRI revealed a cavernous angioma at the T5 level. CONCLUSIONS A multitude of neurologic deficits could lead to a patient presenting with a Spinal Cord Cavernoma. Prompt imaging is warranted in cases presenting with the symptoms to allow appropriate diagnoses and treatment. The clinician must be aware of this rare, but debilitating disease complex.

UI	MeSH Term	Description	Entries
D008279	Magnetic Resonance Imaging	Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.	Chemical Shift Imaging,MR Tomography,MRI Scans,MRI, Functional,Magnetic Resonance Image,Magnetic Resonance Imaging, Functional,Magnetization Transfer Contrast Imaging,NMR Imaging,NMR Tomography,Tomography, NMR,Tomography, Proton Spin,fMRI,Functional Magnetic Resonance Imaging,Imaging, Chemical Shift,Proton Spin Tomography,Spin Echo Imaging,Steady-State Free Precession MRI,Tomography, MR,Zeugmatography,Chemical Shift Imagings,Echo Imaging, Spin,Echo Imagings, Spin,Functional MRI,Functional MRIs,Image, Magnetic Resonance,Imaging, Magnetic Resonance,Imaging, NMR,Imaging, Spin Echo,Imagings, Chemical Shift,Imagings, Spin Echo,MRI Scan,MRIs, Functional,Magnetic Resonance Images,Resonance Image, Magnetic,Scan, MRI,Scans, MRI,Shift Imaging, Chemical,Shift Imagings, Chemical,Spin Echo Imagings,Steady State Free Precession MRI
D008297	Male		Males
D003937	Diagnosis, Differential	Determination of which one of two or more diseases or conditions a patient is suffering from by systematically comparing and contrasting results of diagnostic measures.	Diagnoses, Differential,Differential Diagnoses,Differential Diagnosis
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368	Aged	A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available.	Elderly
D013120	Spinal Cord Neoplasms	Benign and malignant neoplasms which occur within the substance of the spinal cord (intramedullary neoplasms) or in the space between the dura and spinal cord (intradural extramedullary neoplasms). The majority of intramedullary spinal tumors are primary CNS neoplasms including ASTROCYTOMA; EPENDYMOMA; and LIPOMA. Intramedullary neoplasms are often associated with SYRINGOMYELIA. The most frequent histologic types of intradural-extramedullary tumors are MENINGIOMA and NEUROFIBROMA.	Intradural-Extramedullary Spinal Cord Neoplasms,Intramedullary Spinal Cord Neoplasms,Intramedullary Spinal Cord Neoplasms, Primary,Neoplasms, Spinal Cord,Primary Intramedullary Spinal Cord Neoplasms,Primary Spinal Cord Neoplasms, Intramedullary,Spinal Cord Neoplasms, Benign,Spinal Cord Neoplasms, Intradural-Extramedullary,Spinal Cord Neoplasms, Intramedullary,Spinal Cord Neoplasms, Malignant,Spinal Cord Neoplasms, Primary Intramedullary,Tumors, Spinal Cord,Intradural Extramedullary Spinal Cord Neoplasms,Neoplasm, Spinal Cord,Spinal Cord Neoplasm,Spinal Cord Neoplasms, Intradural Extramedullary,Spinal Cord Tumor,Spinal Cord Tumors,Tumor, Spinal Cord
D020786	Hemangioma, Cavernous, Central Nervous System	A vascular anomaly composed of a collection of large, thin walled tortuous VEINS that can occur in any part of the central nervous system but lack intervening nervous tissue. Familial occurrence is common and has been associated with a number of genes mapped to 7q, 7p and 3q. Clinical features include SEIZURES; HEADACHE; STROKE; and progressive neurological deficit.	Cavernous Hemangioma, Central Nervous System,Cerebral Cavernous Hemangioma,Cavernous Angioma, Central Nervous System,Cavernous Angioma, Familial,Cavernous Angiomatous Malformations,Cavernous Hemangioma of Brain,Cavernous Hemangioma, Extracerebral,Cavernous Hemangioma, Intracerebral,Central Nervous System Cavernous Hemangioma,Cerebral Capillary Malformations,Cerebral Cavernous Malformation,Cerebral Cavernous Malformations,Familial Cavernous Malformation,Intracerebral Cavernous Hemangioma,Angioma, Familial Cavernous,Angiomas, Familial Cavernous,Angiomatous Malformation, Cavernous,Angiomatous Malformations, Cavernous,Brain Cavernous Hemangioma,Brain Cavernous Hemangiomas,Capillary Malformation, Cerebral,Capillary Malformations, Cerebral,Cavernous Angiomas, Familial,Cavernous Angiomatous Malformation,Cavernous Hemangioma, Cerebral,Cavernous Hemangiomas, Cerebral,Cavernous Hemangiomas, Extracerebral,Cavernous Hemangiomas, Intracerebral,Cavernous Malformation, Cerebral,Cavernous Malformation, Familial,Cavernous Malformations, Cerebral,Cavernous Malformations, Familial,Cerebral Capillary Malformation,Cerebral Cavernous Hemangiomas,Extracerebral Cavernous Hemangioma,Extracerebral Cavernous Hemangiomas,Familial Cavernous Angioma,Familial Cavernous Angiomas,Familial Cavernous Malformations,Hemangioma, Cerebral Cavernous,Hemangioma, Extracerebral Cavernous,Hemangioma, Intracerebral Cavernous,Hemangiomas, Cerebral Cavernous,Hemangiomas, Extracerebral Cavernous,Hemangiomas, Intracerebral Cavernous,Intracerebral Cavernous Hemangiomas,Malformation, Cavernous Angiomatous,Malformation, Cerebral Capillary,Malformation, Cerebral Cavernous,Malformation, Familial Cavernous,Malformations, Cavernous Angiomatous,Malformations, Cerebral Capillary,Malformations, Cerebral Cavernous,Malformations, Familial Cavernous