Intramedullary cavernoma

Mamadou Bata Dianka, Farida Abdoulkader Guedi, Djama Houssein Omar, Goumaneh Omar Houssein, Filsan Omar Ali
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Abstract

The cavernoma is a vascular malformation made of well-circumscribed agglomeration of pseudo-capillaries. Bone marrow localization is rare and accounts for about 5% of spinal cord vascular lesions. Clinical symptomatology is marked by progressive bone marrow compression syndrome. The diagnosis is strongly evoked in magnetic resonance imaging and confirmed by histology. The management is essentially surgical. We report a case of bone marrow cavernoma in a 38-year-old man seen in consultation, paraplegic for 2 weeks. The spinal cord MRI revealed a lesion opposite D11, evoking a cavernoma. The patient was operated on with total removal of the lesion; histology confirmed the diagnosis of cavernoma. The immediate post-operative follow-up was marked by the partial recovery of the deficit. We discuss, through this clinical case, the clinical, radiological and especially therapeutic aspects of the medullary cavernoma.
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髓内钙化
海绵状瘤是一种血管畸形,由界限分明的假毛细血管聚集而成。骨髓定位是罕见的,约占脊髓血管病变的5%。临床症状以进行性骨髓压迫综合征为特征。诊断强烈唤起磁共振成像和组织学证实。治疗基本上是外科手术。我们报告一例骨髓海绵状瘤在一个38岁的男子看咨询,截瘫2周。脊髓MRI显示D11对面病变,提示海绵状瘤。手术切除病灶;组织学证实了海绵瘤的诊断。术后立即随访,缺损部分恢复。我们讨论,通过这个临床病例,临床,放射学和特别是治疗方面的髓样海绵状瘤。
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