Two cases of intramedullary cavernous hemangiomas presentedspinal cord hemorrhage

Abstract

This report describes 2 patients with intramedullary cavernous hemangiomas who experienced intramedullary hemorrhage. A 72-year-old man presented with muscle weakness and sensory disturbance of the left proximal lower extremity and hyperreflexia of the left patellar tendon. MRI imaging revealed an intramedullary hemorrhage at Th9-10 and a cavernous angioma at Th11. The cavernous angioma was removed on day 39. His lower-extremity neurological function improved immediately after surgery. A 65-year-old woman complained of upper-extremity, chest, and back pain. Subsequent MRI imaging showed an intramedullary hemorrhage at C6-Th4 and a cavernous angioma at Th1. She was managed conservatively because she had no neurological deficit. Optimal management must be conducted for each case of intramedullary cavernous hemangioma.