neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"neurosurgery-80Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИFROM PRACTICEКАВЕРНОЗНАЯ ГЕМАНГИОМА СПИННОГО МОЗГА, ОСЛОЖНЕННАЯ ГЕМАТОМИЕЛИЕЙ (КЛИНИЧЕСКОЕ НАБЛЮДЕНИЕ И ОБЗОР ЛИТЕРАТУРЫ)The cavernous hemangioma of spinal cord complicated with hematomyelia (clinical case and literature review)БублиевскийДаниил ВалерьевичBublievskyD. V.elboff77@gmail.comЕвзиковГригорий ЮльевичEvzikovG. Ju.mmaevzikov@mail.ruТиссенТеодор ПетровичTissenT. P.noemail@neicon.ruШишкинаЛюдмила ВалентиновнаShishkinaL. V.lshishkina@nsi.ruФарафонтовАлександр ВалентиновичPharaphontovA. V.alfaros.ns@gmail.comПервый Московский государственный медицинский университет им. И.М. СеченоваRussian FederationНаучно-исследовательский институт нейрохирургии им. Н.Н. БурденкоRussian Federation201405102017019096Copyright © Бублиевский Д.В., Евзиков Г.Ю., Тиссен Т.П., Шишкина Л.В., Фарафонтов А.В., 20172017Бублиевский Д.В., Евзиков Г.Ю., Тиссен Т.П., Шишкина Л.В., Фарафонтов А.В.Bublievsky D.V., Evzikov G.J., Tissen T.P., Shishkina L.V., Pharaphontov A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/80

В статье представлен подробный разбор клинического случая пациентки с кавернозной ангиомой (КА) шейного отдела спинного мозга, которая протекала бессимптомно и проявила себя острым развитием массивной гематомиелии. Кровоизлияние привело к развитию верхнего парапареза и нижней параплегии. При повторных МРТ-исследованиях шейного отдела спинного мозга обнаружить КА не удалось. При определении показаний к операции КА рассматривалась как наиболее вероятная причина кровоизлияния, но окончательно подтвердить диагноз удалось только интраоперационно и по результатам проведенного гистологического исследования удаленного образования. Случай представляет клинический интерес в связи со сложностью установления правильного диагноза и выбора оптимальной лечебной тактики при КА спинного мозга.

This article presents the detailed review of clinical case of female patient with cavernous hemangioma (CH) of cervical spinal cord which was presented as acute massive hematomyelia. The hemorrhage from CH leaded to development of upper paraparesis and lower paraplegia. The repeated cervical MRI was not be able to reveal CH. CH was considered as the most probable reason of hemorrhage while determine the indications for surgical treatment, but the final diagnosis was stated only intraoperatively and as a result of histological examination. This case is considered to be of interest taking into account the complexity of correct diagnostics making as well as the choice of optimal surgical strategy for treatment of spinal cord CH.

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The authors declare that there are no conflicts of interest present.