Hemangiomas are benign vascular lesions that are uncommon in the spine and primary intraspinal epidural hemangiomas are particularly rare. We report the case of a 38-year-old male who presented with progressive spastic paraparesis and clinical features of dorsal myelopathy. Magnetic resonance imaging demonstrated a D3–D6 dorsal extradural mass producing significant cord compression. He underwent D4–D6 laminectomy with en bloc microsurgical excision, and histopathology confirmed a capillary hemangioma. The patient experienced marked neurological improvement postoperatively. We also review the available literature, summarizing the epidemiology, clinical presentation, imaging characteristics, histopathology, management strategies, and outcomes associated with primary epidural hemangiomas.
Jacob et al. (Thu,) studied this question.