Spinal epidural cavernous hemangioma in an HIV-positive patient |
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| Authors: | Masahiko Akiyama Howard J. Ginsberg David Munoz |
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| Affiliation: | 1. Division of Neurosurgery, St. Michael''s Hospital, University of Toronto, 2 Queen Street East, Suite #1005, Toronto, Ontario M5C 3G7, Canada;2. Division of Pathology, St. Michael''s Hospital, University of Toronto, 2 Queen Street East, Suite #1005, Toronto, Ontario M5C 3G7, Canada;1. Department of Medical Imaging Center, the First Affiliated Hospital, Jinan University, Guangzhou, China;2. Neonatal Intensive Care Unit, the First Affiliated Hospital, Jinan University, Guangzhou, China;1. Division of Neuroradiology, Department of Radiology and Radiological Science, Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD 21287, USA;2. Department of Biomedical Engineering, Johns Hopkins Hospital, Johns Hopkins University, 600 North Wolfe Street, Baltimore, MD 21287, USA;3. Department of Otolaryngology, Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD 21287, USA;4. Department of Neurosurgery, Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD 21287, USA;1. University of Zagreb School of Medicine, Department of Maxillofacial Surgery, University Hospital Dubrava, Ave. Gojko Susak 6, 10000 Zagreb, Croatia;2. University Hospital Center “Sisters of Mercy”, University Hospital for Tumours, Vinogradska Cesta 29, 10000 Zagreb, Croatia;3. University of Zagreb School of Dental Medicine, Department of Maxillofacial Surgery, Division of Oral Surgery, University Hospital Dubrava, Ave. Gojko Susak 6, 10000 Zagreb, Croatia;4. University Hospital Center Osijek, Department of Maxillofacial Surgery, Josipa Huttlera 4, 31000 Osijek, Croatia;1. Department of Hand Surgery and Peripheral Nerve Surgery, hôpital de la Tour, 1, avenue J.D. Maillard, 1217 Meyrin, Geneva, Switzerland;2. Ghent University Hospital, Department of Orthopaedic Surgery and Traumatology, De Pintelaan 185, 9000 Gent, Belgium |
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| Abstract: | BackgroundSpinal epidural cavernous hemangioma is rare.PurposeHere, we report a case of spinal epidural cavernous hemangioma in an HIV-positive patient.Study designSingle case report.MethodA 40-year-old known HIV-positive woman presented with a 6-month history of slowly progressive bilateral leg weakness and pain. Neuroimaging showed an epidural mass lesion, which was isointense on T1–WI, hyperintense on T2–WI, and homogenously enhanced with gadolinium diethylenetriamine pentaacetate (Gd-DTPA), from T8 to T10.ResultsThe patient underwent T8–T10 laminectomy and removal of this lesion. Pathological diagnosis was cavernous hemangioma.ConclusionAlthough soft-tissue tumors such as Kaposi's sarcoma and lymphomas have been well documented in association with HIV infection, this is the first reported case of spinal epidural cavernous hemangioma. This may be an incidental finding or perhaps a causal relationship exists, suggesting that cavernous hemangioma could be a differential diagnosis of a spine lesion in HIV-positive patients. |
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