PMC6194730_01
T2- weighted contrasted MRI of the spine, sagittal view, showing a hyperintense lesion in the epidural space of the thoracic spine, with discrete spinal compression at the T9 and T10 levels
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F1
T1 and T2-weighted images) at the T9-T10 levels, which homogeneously enhanced with intravenous gadolinium contrast. There was mild/moderate compression of the spinal cord without bony involvement or invasion [Figures 1-3].
Fat-suppressed T1-weighted MRI of the spine, sagittal view, after administration of gadolinium showing a well-circumscribed enhancing lesion causing displacement of the spinal cord at the T9 and T10 levels
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F2
T1 and T2-weighted images) at the T9-T10 levels, which homogeneously enhanced with intravenous gadolinium contrast. There was mild/moderate compression of the spinal cord without bony involvement or invasion [Figures 1-3].
T2-weighted axial MRI enhanced with gadolinium showing a mass occupying the spinal canal with discrete compression of the dural sac
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F3
T1 and T2-weighted images) at the T9-T10 levels, which homogeneously enhanced with intravenous gadolinium contrast. There was mild/moderate compression of the spinal cord without bony involvement or invasion [Figures 1-3].
Intraoperative photograph showing the red-purple, hemorrhagic epidural lesion (black arrows) after laminectomy from T9 to T11
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F4
Under fluoroscopic guidance a T9-T11 laminectomy revealed a reddish highly vascularized soft lesion easily dissected away from the dura; a total en bloc excision was achieved without a dural fistula [Figure 4].
Spinal cord capillary hemangioma of the ectatic type: A benign mesenchymal neoplasm constituted by numerous capillary type vessels without cytologic atypia and a lobulated pattern intermingled with a large amount of adipose tissue, hematoxylin-eosin staining, 100x
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F5
The sample on gross inspection revealed a benign mesenchymal neoplasm with blood vessel differentiation [Figure 5].