A 28-year-old woman presented with a rare primary epidural hemangioma without adjacent vertebral involvement manifesting as progressive paraparesis. Magnetic resonance imaging of the thoracic spine showed an epidural lesion at T4-5 space appearing as isointense on T1-weighted images with enhancement by contrast medium and hyperintense on T2-weighted images. The lesion was totally removed microsurgically. Histological examination revealed cavernous hemangioma. She made a complete recovery from her symptoms and has remained asymptomatic for 9 years.

译文

一名28岁的妇女,患有罕见的原发性硬膜外血管瘤,没有邻近的椎骨受累,表现为进行性偏瘫。胸椎的磁共振成像显示,T4-5空间的硬膜外病变在T1-weighted图像上表现为等强度,造影剂增强,而在T2-weighted图像上表现为高强度。病变被显微手术完全切除。组织学检查显示海绵状血管瘤。她从症状中完全康复,并且已经有9年没有症状了。

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