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January 8, 1938

EPIDURAL HEMANGIOMA WITH COMPRESSION OF SPINAL CORD

Author Affiliations

Nashville, Tenn.

From the Department of Pathology, Vanderbilt University School of Medicine.

JAMA. 1938;110(2):119-122. doi:10.1001/jama.1938.62790020001010
Abstract

My purpose in this paper is to present a case of epidural hemangioma with a fatal outcome from compression of the spinal cord. The presence of a hemangioma in the subcutaneous tissue of the same dermatome and a sudden onset of paralysis and sensory changes below this level should have suggested the correct diagnosis. There would have been an expectation of complete recovery if the epidural hemangioma had been removed soon after the onset of symptoms.

Cushing1 in 1906 cited three cases of his own and three from the literature in which facial hemangiomas were associated with vascular tumors of the cerebral meninges. In this article Cushing suggested for the first time that organs other than the skin, but in the same segment of nerve distribution, could be similarly affected. Since the publication of his paper facial hemangiomas and associated intracranial vascular anomalies have been observed many times.

Cobb

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