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Intrasyrinx hemorrhage associated with hemangioblastoma in epiconus.
Spine J. 2009 May; 9(5):e10-3.SJ

Abstract

BACKGROUND CONTEXT

Hemangioblastomas in the central nervous system are highly vascular lesions, but have low risk of hemorrhage. In spinal lesions, there are a few rare cases of intramedullary hemorrhages associated with hemangioblastoma, and their prognoses were very severe.

PURPOSE

This is the first case of an intrasyrinx hemorrhage associated with hemangioblastoma in epiconus. We report this rare case and discuss the clinical manifestations of intrasyrinx hemorrhage caused by hemangioblastoma in epiconus.

STUDY DESIGN

A case report.

METHODS

This case report presents a 45-year-old woman with intrasyrinx hemorrhage caused by hemangioblastoma in epiconus. The patient presented with a sudden onset of burning bilateral leg pain and rectal/bladder dysfunction, indicating conus medullaris syndrome. Initial magnetic resonance imaging revealed an intramedullary nodular lesion in the epiconus and holocord syringomyelia. However, follow-up magnetic resonance imaging showed intramedullary hemorrhage.

RESULTS

The patient underwent surgery, and an intrasyrinx hematoma was evacuated and the tumor was completely removed. Histological diagnosis was hemangioblastoma. Three months after surgery, the patient recovered from neurological deficits.

CONCLUSIONS

We present this rare case, and emphasize hemangioblastoma as the differential diagnosis in hemorrhagic spinal lesion.

Authors+Show Affiliations

Department of Neurosurgery, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyusyu 807-8555, Japan. yama9218@med.uoeh-u.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18922743

Citation

Yamamoto, Junkoh, et al. "Intrasyrinx Hemorrhage Associated With Hemangioblastoma in Epiconus." The Spine Journal : Official Journal of the North American Spine Society, vol. 9, no. 5, 2009, pp. e10-3.
Yamamoto J, Takahashi M, Akiba D, et al. Intrasyrinx hemorrhage associated with hemangioblastoma in epiconus. Spine J. 2009;9(5):e10-3.
Yamamoto, J., Takahashi, M., Akiba, D., Soejima, Y., Nakano, Y., Aoyama, Y., Korogi, Y., & Nishizawa, S. (2009). Intrasyrinx hemorrhage associated with hemangioblastoma in epiconus. The Spine Journal : Official Journal of the North American Spine Society, 9(5), e10-3. https://doi.org/10.1016/j.spinee.2008.08.012
Yamamoto J, et al. Intrasyrinx Hemorrhage Associated With Hemangioblastoma in Epiconus. Spine J. 2009;9(5):e10-3. PubMed PMID: 18922743.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intrasyrinx hemorrhage associated with hemangioblastoma in epiconus. AU - Yamamoto,Junkoh, AU - Takahashi,Mayu, AU - Akiba,Daisuke, AU - Soejima,Yoshiteru, AU - Nakano,Yoshiteru, AU - Aoyama,Yuichi, AU - Korogi,Yukunori, AU - Nishizawa,Shigeru, Y1 - 2008/10/14/ PY - 2008/01/03/received PY - 2008/06/22/revised PY - 2008/08/20/accepted PY - 2008/10/17/pubmed PY - 2009/6/24/medline PY - 2008/10/17/entrez SP - e10 EP - 3 JF - The spine journal : official journal of the North American Spine Society JO - Spine J VL - 9 IS - 5 N2 - BACKGROUND CONTEXT: Hemangioblastomas in the central nervous system are highly vascular lesions, but have low risk of hemorrhage. In spinal lesions, there are a few rare cases of intramedullary hemorrhages associated with hemangioblastoma, and their prognoses were very severe. PURPOSE: This is the first case of an intrasyrinx hemorrhage associated with hemangioblastoma in epiconus. We report this rare case and discuss the clinical manifestations of intrasyrinx hemorrhage caused by hemangioblastoma in epiconus. STUDY DESIGN: A case report. METHODS: This case report presents a 45-year-old woman with intrasyrinx hemorrhage caused by hemangioblastoma in epiconus. The patient presented with a sudden onset of burning bilateral leg pain and rectal/bladder dysfunction, indicating conus medullaris syndrome. Initial magnetic resonance imaging revealed an intramedullary nodular lesion in the epiconus and holocord syringomyelia. However, follow-up magnetic resonance imaging showed intramedullary hemorrhage. RESULTS: The patient underwent surgery, and an intrasyrinx hematoma was evacuated and the tumor was completely removed. Histological diagnosis was hemangioblastoma. Three months after surgery, the patient recovered from neurological deficits. CONCLUSIONS: We present this rare case, and emphasize hemangioblastoma as the differential diagnosis in hemorrhagic spinal lesion. SN - 1878-1632 UR - https://www.unboundmedicine.com/medline/citation/18922743/Intrasyrinx_hemorrhage_associated_with_hemangioblastoma_in_epiconus_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1529-9430(08)01355-7 DB - PRIME DP - Unbound Medicine ER -