Cavernous angioma of the cauda equina: case report

We present a rare case of cavernous angioma of the cauda equina and review the eleven cases available in the literature. A 44-year-old woman presented with low back pain and sciatica associated with bowel and bladder dysfunction and motor weakness of the lower extremity. The MRI revealed an enhancing, heterogeneous and hyperintense intradural lesion compressing the cauda equina roots at the L4 level. Laminectomy at L3-L4 and total removal of the tumor were performed without additional neurological deficit. Pathology revealed a cavernous angioma. The literature, clinical presentation, technical examinations, and treatment are reviewed.

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Bibliographic Details
Main Authors: Falavigna,Asdrubal, Righesso Neto,Orlando, Santos,José Augusto Nasser dos, Ferraz,Fernando Antonio Patriani
Format: Digital revista
Language:English
Published: Academia Brasileira de Neurologia - ABNEURO 2004
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2004000300029
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Description
Summary:We present a rare case of cavernous angioma of the cauda equina and review the eleven cases available in the literature. A 44-year-old woman presented with low back pain and sciatica associated with bowel and bladder dysfunction and motor weakness of the lower extremity. The MRI revealed an enhancing, heterogeneous and hyperintense intradural lesion compressing the cauda equina roots at the L4 level. Laminectomy at L3-L4 and total removal of the tumor were performed without additional neurological deficit. Pathology revealed a cavernous angioma. The literature, clinical presentation, technical examinations, and treatment are reviewed.