Cavernous hemangioma upper cervical cord

Case contributed by Dr Chris O'Donnell

Presentation

Had a fall in the supermarket. Left sided numbing pain affecting the whole half of the left body. Lesion identified in the cervical cord previously

Patient Data

Age: 55
Gender: Female

Typical angiographically occult vascular malformation (cavernous hemangioma) showing a lobulated mass containing T1 brightening, mixed increased and decreased T2 signal and susceptibility "blooming" on the GRE axial sequence indicative of recent and old hemorrhage.

Case Discussion

These lesions are typically found as incidental lesions in the brain but can occur in the spinal cord.  In the brain they are usually asymptomatic.  Surprisingly this lesion in the upper cord has produced only minor symptoms and has been monitored for nearly 10 years without progression of MRI findings or neurological deficit.

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