Evidence map›Paper›PMID 42902190›Full record

ReviewBMC neurology2026

Intradural extramedullary venous hemangioma mimicking meningioma: a case report and literature review.

Lutong Wang, Xiaofang Wen, Shixing Zeng, Zhengran Yu, Yongyu Ye, Sharvesh Raj Seeruttun, Honglin Gu

Abstract readCase ReportsReview
In one paragraph

Review in BMC neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Lutong Wang *Department of Spine Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510000, China.
Xiaofang Wen *Department of Orthopaedics, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510000, China.
Shixing ZengDepartment of Spine Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510000, China.
Zhengran YuDepartment of Spine Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510000, China.
Yongyu YeDepartment of Spine Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510000, China.
Sharvesh Raj SeeruttunDepartment of Gastrointestinal Surgery, Department of General Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, Guangdong, 510080, China. cancer.surgery.phd@gmail.com.
Honglin GuDepartment of Spine Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510000, China. guhonglin@gdph.org.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntradural extramedullary hemangiomas of the spinal canal are rare, and the venous subtype is particularly uncommon. Their imaging appearance can overlap with more frequent intradural extramedullary tumors, which increases the risk of misdiagnosis. This case report aims to describe an intradural extramedullary venous hemangioma that mimicked meningioma on MRI and to highlight key surgical considerations. CASE PRESENTATION: A 49-year-old man presented with a five-month history of progressive numbness, radicular pain, and weakness in the left lower limb, which progressed to gait disturbance. Neurological examination revealed hypoesthesia over the lateral left leg and dorsum of the foot, with motor weakness of the extensor hallucis longus and hamstring muscles (MRC grade 3/5). Magnetic resonance imaging demonstrated an 11 × 9 mm intradural extramedullary lesion at T12/L1 that appeared slightly hyperintense on T1-weighted images, isointense on T2-weighted images, and showed mild homogeneous enhancement with a subtle dural tail sign, suggesting a diagnosis of meningioma, following which the patient underwent posterior T12 total laminectomy with lamina replantation and gross total resection was achieved without nerve root sacrifice. Microsurgical excision revealed a dark red, mulberry-like vascular mass densely adherent to the spinal cord and cauda equina nerve roots. Histopathological analysis demonstrated proliferated vascular channels of variable lumen size, positive endothelial staining for ERG, and a Ki-67 index of approximately 2%, confirming venous hemangioma. Postoperatively, the patient experienced immediate pain relief and progressive neurological improvement. At one-year follow-up, motor strength had fully recovered, with only mild residual numbness and no radiological evidence of recurrence.

conclusionThis case illustrates a rare intradural extramedullary venous hemangioma that radiologically mimicked meningioma. Complete microsurgical resection provided promising neurological recovery and highlights the importance of considering vascular tumors in the differential diagnosis of intradural spinal lesions.

Indexed as

HemangiomaMeningeal NeoplasmsMeningiomaSpinal Cord NeoplasmsDiagnosis, DifferentialHumansMagnetic Resonance ImagingMaleMiddle AgedIntradural extramedullary tumorMagnetic resonance imagingMicrosurgical resectionSpinal canal lesionVenous hemangioma

Identifiers

PMID42902190
PMCPMC13681784

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.