- Department of Neurosurgery, Avicenne Military Hospital of Marrakech and Mohammed V University in Rabat, Rabat, Morocco.
DOI:10.25259/SNI_438_2020Copyright: © 2020 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
How to cite this article: Akhaddar A. Comment regarding the article “Posttraumatic thoracic epidural capillary hemangioma”. Surg Neurol Int 15-Aug-2020;11:251
How to cite this URL: Akhaddar A. Comment regarding the article “Posttraumatic thoracic epidural capillary hemangioma”. Surg Neurol Int 15-Aug-2020;11:251. Available from: https://surgicalneurologyint.com/surgicalint-articles/10206/
I read with particular interest the article by Dr. Sudhir et al. in which the authors report a patient with spinal cord compression attributed to a histologically proven midthoracic epidural capillary hemangioma following spinal trauma that had occurred 9 years ago.[
As mentioned by the authors, the tumor was also protruding into the proximal aspect of the right T7/T8 neural foramen; this information was also present in [Table 1]. However, in the discussion, Sudhir et al. wrote that the tumor was extending into the right T6–7 foramen instead of T7–8.
More importantly, it is not clear whether there was a previous T7 burst fracture. On the sagittal magnetic resonance images for this patient, the healed fracture appeared to involve the T11 vertebral body and not T7. Further, there was also evidence of posterior thoracic soft-tissue scaring, remodeling, abnormal posterior epidural contrast enhancement at the T11 vertebral level (i.e., a small intramedullary cavity on T2-weighted images with relative spinal cord atrophy in T11), and evidence of a prior T11 laminectomy. This discrepancy should be reevaluated by the authors as it is unlikely that there was a previous T11 injury/surgery 9 years ago, and Nowm, a new T7 epidural tumor. Therefore, this report cannot be considered really “posttraumatic” until the above-noted factors have been further clarified by the authors.
Furthermore, according to the authors, there were only nine similar cases of spinal epidural capillary hemangiomas reported in the literature,[
I hope this comment will contribute to a better understanding of this relatively rare entity for the readers of Surgical Neurology International.
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