Spinal spindle cell haemangioma: an atypical location

• Published in: Acta neurochirurgica Vol. 149; no. 3; pp. 325 - 328
• Main Authors: Talan-Hranilović, J, Vucić, M, Sajko, T, Bedek, D, Tomić, K, Lupret, V
• Format: Journal Article
• Language: English
• Published: Austria Springer Nature B.V 01.03.2007
• Subjects: Adult; Epidural Neoplasms - diagnosis; Epidural Neoplasms - pathology; Epidural Neoplasms - surgery; Epidural Space - pathology; Follow-Up Studies; Hemangioma - diagnosis; Hemangioma - pathology; Hemangioma - surgery; Humans; Laminectomy; Male; Muscle Weakness - etiology; Neurologic Examination; Paresthesia - etiology; Spinal Cord Compression - diagnosis; Spinal Cord Compression - pathology; Spinal Cord Compression - surgery; Thoracic Vertebrae - pathology
• ISSN: 0001-6268; 0942-0940
• DOI: 10.1007/s00701-006-1109-6

We present a case of the 31-year-old male patient who complained of weakness in both legs and progressed slowly. Neuroimagine of the thoracic spine showed an intraspinal, extradural mass lesion, measuring 5.3 x 1.2 cm at the Th1-Th3 level. Histologically the lesion was a spindle cell haemangioma composed of dilated vascular spaces and a proliferation of bland appearing interspersed spindle cells. Immunohistochemical analysis was diffusely positive for VIM, SMA and focally for CD34. This lesion is uncommon and shows a predilection for distal extremities. Spindle cell haemangioma within the spine has not been previously reported in the literature.