EURORAD ESR

Case 12155

A rare case of an epidural cavernous haemangioma of the spine

Author(s)
Vasiliki Bizimi, Matilda Papathanasiou, Vasiliki Papalouka, Maria Tsitskari, Alexios Kelekis, Elias Broutzos, Olympia Papakonstantinou

Second Department of Radiology,
General University Hospital "Attikon"
 
Patient
female, 67 year(s)
 
 
  • Figure 1
    Computed Tomography

    Transverse CT image bone window: erosion of the right transverse process of T6 vertebra, with sclerotic margins.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Haemangioma;
     
     
  • Figure 2
    MR angiography

    T1, T2, contrast-enhanced T1 weighted, MR sagittal images. An epidural mass in the dorsal aspect of the spine, (Cc d~60mm), causes displacement of the dura, spinal canal narrowing and compression of the spinal cord.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemangioma;
     
     
  • Figure 3
    MR angiography

    A transverse contrast-enhanced T1-weighted MR image shows the extradural spinal mass that extends to the right paravertebral space through the ipsilateral T5-T6 intervertebral foramen (dumbbell configuration).

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Haemangioma;
     
     
  • Figure 4
    MRA MIP

    MRA MIP subtraction image: In the arterial phase, the hypervascular lesion with prominent feeding intercostal arteries are shown.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR-Angiography; Procedure: Diagnostic procedure; Special Focus: Haemangioma;
     
     
Transverse CT image bone window: erosion of the right transverse process of T6 vertebra, with sclerotic margins.
 
T1, T2, contrast-enhanced T1 weighted, MR sagittal images. An epidural mass in the dorsal aspect of the spine, (Cc d~60mm), causes displacement of the dura, spinal canal narrowing and compression of the spinal cord.
 
A transverse contrast-enhanced T1-weighted MR image shows the extradural spinal mass that extends to the right paravertebral space through the ipsilateral T5-T6 intervertebral foramen (dumbbell configuration).
 
MRA MIP subtraction image: In the arterial phase, the hypervascular lesion with prominent feeding intercostal arteries are shown.
 
 
 
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