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Journal of Neurosurgical Sciences 2001 March;45(1):58-62

language: English

Isolated heman­gio­blas­to­ma of the ­filum ter­mi­nale. Case ­report

Farneti M. 1, Ferracini R: 2, Migliore A. 1, Trapella G. 1, Veronesi V. 1

1 Neurosurgical Institute, School of Medicine, University of Ferrara, Italy;
2 Department of Pathology (RF), Bellaria Hospital, Bologna, Italy


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The ­filum ter­mi­nale is an excep­tion­al loca­tion for iso­lat­ed heman­gio­blas­to­ma. Only ­five cas­es are report­ed in lit­er­a­ture, ­prior to the mag­net­ic res­o­nance imag­ing era. A 57-­year-old man was ­referred to our Department ­with a pro­longed his­to­ry of pro­gres­sive ­back ­pain, par­tic­u­lar­ly ­severe ­when recum­bent, and recur­rent uni­lat­er­al scia­tal­gia. Computed tomog­ra­phy dem­on­strat­ed a non-homo­ge­ne­ous ­mass at L4 lev­el. Magnetic res­o­nance imag­ing dis­played ear­li­ness and homo­ge­ne­ous enhance­ment of the ­mass ­with tor­tu­ous ves­sels ­above the ros­tral ­pole of the ­tumour, sug­gest­ing the diag­no­sis of a vas­cu­lar ­tumour. The ­tumour was total­ly ­removed. Histological exam­ina­tion con­firmed the heman­gio­blas­to­ma diag­no­sis. The ­case indi­cates ­that heman­gio­blas­to­ma, ­although uncom­mon, ­must be tak­en ­into con­sid­er­a­tion in cau­da equi­na ­tumour diag­no­sis, and ­also empha­sis­es the spec­i­fic­ity of mag­net­ic res­o­nance fea­tures.

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