{"id":"0a76c1c6-2f4f-4a14-9d6a-5b811c0af40d","slug":"case-report-of-lumbar-intradural-capillary-hemangioma","title":"Case report of lumbar intradural capillary hemangioma","authors":["Ajaya Kumar Ayyappan Unnithan","T. P. Joseph","Amol Gautam","V. Shymole"],"abstract":"Background: Capillary hemangioma is a rare tumor in spinal intradural location. Despite the rarity, early recognition is important because of the risk of hemorrhage. This is a case report of a woman who had capillary hemangioma of cauda equina. Case Description: A 54 -year-old woman presented with a low backache, radiating to the left leg for 2 months. She had left extensor hallucis weakness, sensory impairment in left L5 dermatome, and mild tenderness in lower lumbar spine. Magnetic resonance imaging (MRI) LS spine showed L4/5 intradural tumor, completely occluding canal in myelogram, enhancing with contrast, s/o benign nerve sheath tumor. L4 laminectomy was done. Reddish tumor was seen originating from a single root. It was removed preserving the root. Postoperatively, she was relieved of symptoms. MRI showed no residue. Histopathology showed lobular proliferation of capillary-sized blood vessels and elongated spindle cells. Immunohistochemistry showed CD34 positivity in endothelial cell lining of blood vessel and smooth muscle actin positivity in blood vessel muscle cells. HPR-capillary hemangioma. Conclusion: Although rare, capillary hemangioma should be in the differential diagnosis of intradural tumors. It closely mimics nerve sheath tumor.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/0a76c1c6-2f4f-4a14-9d6a-5b811c0af40d/featured/hero-1782420936141.png","publishDate":"2016-03-02T00:00:00.000Z","doi":"10.4103/2152-7806.177886","categories":["Unique Case Observations","Case Report"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2016/03/6642/SNI-7-139.pdf"}