Lumbar epidural capillary hemangioma presenting as lumbar disc herniation disease: Case report

Abstract

Study Design. A case of lumbar spinal epidural hemangioma is presented. Objective. To present the first reported lumbar spinal epidural hemangioma patient clinically mimicking the lumbar disc herniation disease. Summary of Background Data. Capillary hemangiomas are benign endothelial cell neoplasms that are believed to be hamartomatous proliferations of vascular endothelial cells. The occurrence of spinal epidural capillary hemangiomas is exceedingly rare. There are only 3 reported epidurally located cases of capillary hemangiomas in the spinal channel in literature. Lumbar spinal epidural capillary hemangioma in a patient has not been previously reported. Methods. Radiologic features, pathology, and clinical course were documented. Results. L4 hypoesthesia and back pain of the patient was caused by an epidurally located capillary hemangioma. The neurologic symptoms of the patient were markedly improved after surgery. Conclusion. We have reported for the first lumbar epidural capillary hemangioma patient in literature. These lesions are benign and surgical treatment is curative. © 2008 Lippincott Williams & Wilkins.