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박종혁,강석형,박승원 대한척추신경외과학회 2010 Neurospine Vol.7 No.2
Cavernous hemangioma is a vascular malformation that can be encountered in any organ of the body; however, purely epidural cavernous hemangioma is a rare entity with a benign nature. The authors report a case of thoracic epidural caver- nous hemangioma in an 89‐year‐old man with radiologic findings resembling those of a metastatic spinal tumor. Initially, the patient refused surgery because of his age and presumed malignancy. However, due to the progression of bilateral leg weakness, he later underwent total mass removal and decompression without neurological deficit. Intraoperative fin- dings and a postoperative biopsy revealed cavernous hemangioma. Because initial radiological findings may suggest a malignant nature for several benign pathologies, the authors recommend that, unless malignancy is proven, aggressive tissue biopsy and treatment should be considered, even in elderly patients.