head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2023, vol. 29, issue4
Subject Area: Medicine
DOI: 10.5272/jimab.2023294.5236
Published online: 22 November 2023

Case report
J of IMAB. 2023 Oct-Dec;29(4):5236-5239
Todor Shamov1ORCID logoCorresponding Autoremail, Tihomir Eftimov1ORCID logo, Georgi K. Georgiev1ORCID logo, Rosen T. Rousseff2ORCID logo,
1)Department of Neurosurgery, Military Medical Academy – Sofia, Bulgaria.
2)Department of Neurology, Faculty of Medicine, Medical University - Pleven, Bulgaria.

A 55-year-old man presented with low backache, paraesthesia, and spasticity of both lower limbs. He had urinary retention and constipation.
Investigations revealed a vascular intradural cauda equina tumor. MRI scan demonstrated an enhancing mass at the third and fourth lumbar vertebral levels. There were multiple dilated and tortuous veins draining from both poles of the tumor.
At surgery, we found a well-defined tumor with an orange hue and fleshy consistency was encountered arising from the filum terminale, comprising a few adjacent nerve roots. The tumor was excised en bloc. The filum terminale was also been resected.
A sporadic hemangioblastoma arising from the filum terminale should be considered as a rare cause of back pain and sciatica. Total excision of the tumor offers a cure.

Keywords: Cauda equine, Filum terminale, hemangioblastoma, von Hippel–Lindau syndrome,

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Please cite this article as: Shamov T, Eftimov T, Georgiev GK, Rousseff RT. An uncommon case of filum terminale hemangioblastoma non-associated with von Hippel – Lindau disease. J of IMAB. 2023 Oct-Dec;29(4):5236-5239. [Crossref - 10.5272/jimab.2023294.5236]

Corresponding AutorCorrespondence to: Assoc. prof. Todor Shamov MD, PhD, Military Medical Academy - Sofia, Bulgaria; E-mail: shamov@abv.bg

1.  Na JH, Kim HS, Eoh W, Kim JH, Kim JS, Kim E-S. Spinal cord hemangioblastoma/ : diagnosis and clinical outcome after surgical  treatment. J Korean Neurosurg Soc. 2007 Dec;42(6):436–40.
2.  Escott EJ, Kleinschmidt-DeMasters BK, Brega K, Lillehei KO. Proximal nerve root spinal hemangioblastomas: presentation of three cases, MR  appearance, and literature review. Surg Neurol. 2004 Mar;61(3):262–73; discussion 273.
3.  Evzikov GY, Konovalov NA, Kushel Y V, Timonin SY, Argylova VN. [Hemangioblastomas of the filum terminale and cauda equina]. Zh Vopr Neirokhir Im N N Burdenko. 2021;85(2):60–6.
4. Ciappetta P, Occhiogrosso G, Domenicucci M, D’Andrea G, Bastianello S, Frati A. Hemangioblastoma of the filum terminale. Case report and review of the  literature. J Exp Clin Cancer Res. 2007 Jun;26(2):281–5.
5. Fujii Y, Nishisho T, Tezuka F, Iwanami A, Yamashita K, Toki S, et al. Hemangioblastoma of the Cauda Equina : A Case Report and Review of the  Literature. J Med Invest. 2022;69(3.4):312–5. [PubMed]
6. D'Oria S, Giraldi D, Flores DAA, Murrone D, D'Angelo V, Chaurasia B. Sporadic hemangioblastoma of cauda equina: A case report and brief literature  review.J Craniovertebr Junction Spine. 2022 Jul-Sep;13(3):265-70. [Internet]
7. Martins HO, Brock RS, Taricco MA, Pereira JF. Junior, de Oliveira MF. Sporadic hemangioblastoma of cauda equina: An atypical case report. Surg Neurol Int. 2019 Apr 24;10(60)1-4. [Crossref]
8.  Tibbs REJ, Harkey HL, Raila FA. Hemangioblastoma of the filum terminale: case report. Neurosurgery. 1999 Jan;44(1):221–3.
9.  Nadkarni TD, Menon RK, Desai KI, Goel A. Hemangioblastoma of the filum terminale. J Clin Neurosci  Off J Neurosurg Soc  Australas. 2006 Feb;13(2):285–8.
10. da Costa LBJ, de Andrade A, Braga BP, Ribeiro CA. Cauda equina hemangioblastoma: case report. Arq Neuropsiquiatr. 2003 Jun;61(2B):456–8.
11.  Sergides IG, Wainwright KL, Biggs M. Incidental hemangioblastoma of the filum terminale. Acta Neurol Belg. 2009 Mar;109(1):55–6.
12. Biondi A, Ricciardi GK, Faillot T, Capelle L, Van Effenterre R, Chiras J. Hemangioblastomas of the lower spinal region: report of four cases with  preoperative embolization and review of the literature. AJNR Am J Neuroradiol. 2005 Apr;26(4):936–45.
13. Chen X, Xu G, Bi Q, Huang Y, Shao H, Jin M, et al. Cauda Equina Syndrome as First Manifestation of von Hippel-Lindau Disease. World Neurosurg. 2019 May;125:316-9. [PubMed]
14. Blaty D, Malos M, Palmrose T, McGirr S. Sporadic Intradural Extramedullary Hemangioblastoma of the Cauda Equina: Case  Report and Literature Review. World Neurosurg. 2018 Jan;109:436-41. [PubMed]

Received: 19 May 2023
Published online: 22 November 2023

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