Lumbo‐sacral cavernous hemangioma : a rare case

Pure spinal epidural cavernous angiomas are very rare, with only less than 100 cases on literature review. The average age of onset is 51 years, and it is more common in women than in men. Lumbo‐sacral spine is involved in less than 10% of reported cases. A 50 years old man with history of chronic hepatitis presented urinary retention and dysuria since 3 months. Clinical examination showed no significant abnormalities. A thorough central nervous system examination revealed no hypoesthesia nether weakness in the lower limbs. MRI revealed a well‐defined epidural lesion at the L5 S1 level. The diagnosis of nerve sheath tumor was suspected and an excision was performed. Histo‐pathological examination concluded to cavernous hemangioma. The patient improved after the excision of the lesion. The best treatment of spinal epidural cavernous angiomas is total surgical removal at an early stage.