S. Devanand Senthil Kumar Professor, Department of Neurosurgery, Institute of Neurosurgery, Madras Medical College, Chennai, Tamil Nadu, India
Anbazhagan P Senior Assistant Professor, Department of Neurosurgery, Institute of Neurosurgery, Madras Medical College, Chennai, Tamil Nadu, India
Arun Prasadh T.P Resident, Department of Neurosurgery, Institute of Neurosurgery, Madras Medical College, Chennai, Tamil Nadu,, India
Address for correspondence: S. Devanand Senthil Kumar, Professor, Department of Neurosurgery, Institute of Neurosurgery, Madras Medical College, Chennai, Tamil Nadu, India E-mail: dsk2059@gmail.com
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
International Journal of Neurology and Neurosurgery
18(1):p 31-34, January – April 2026. | DOI: 10.21088/ijnns.0975.0223.18126.4
How Cite This Article:
S. Devanand Senthil Kumar, Anbazhagan P., Arun Prasadh T.P. Intramedullary Capillary Hemangioma of Conus Medullaris : Case Report and Review of Literature. J Surg. Nurs. 2025; 14(2): 31-34.
Timeline
Received : March 26, 2026
Accepted : April 24, 2026
Published : April 30, 2026
Abstract
Introduction: Capillary hemangiomas, commonly seen in vertebral bodies, are rare in intradural locations. Less than 65 intra spinal (extradural/intradural) capillary hemangiomas have been reported in the literature. We are presenting a case of conus medullaris intramedullary capillary hemangioma.
Material and Methods: We present a rare case of intramedullary capillary hemangioma in a 58 year old male patient who presented with paraplegia, bowel and bladder disturbances. The radiological features, surgical treatment, histopathology and a brief review of literature in relation to capillary hemangiomas is also presented.
Conclusion: This case is the earliest reported case of intramedullary capillary hemangioma in the conus medullaris. Capillary hemangiomas, though uncommon in this location, should be considered in the differential diagnosis of conus medullaris lesions. Early diagnosis and surgical removal help in achieving a better neurological outcome.
References
1. Pastushyn AI, Slin’ko EI, Mirzoyeva GM. Vertebral hemangiomas: Diagnosis, management, natural history and clinicopathological correlates in 86 patients. Surg Neurol 1998;50:535‑47.
2. Thara Tunthanathip, SanguansinRattanalert, ThakulOearsakul, Kanet Kanjanapradit. Spinal capillary hemangiomas –two case reports and review of literature. Asian JNeurosurg. 2017 Jul-Sep;12(3):556-562.
4. Hamlat A, Adn M, Pasqualini E, Brassier G, Askar B. Pathophysiology of capillary haemangioma growth after birth. Med Hypotheses 2005;64:1093‑6.
5. Berkefeld J, Scale D, Kirchner J, Heinrich T, Kollath J. Hypervascular spinal tumors: Influence of the embolization technique on perioperative hemorrhage. AJNR Am J Neuroradiol1999;20:757‑63.
6. Kaneko Y, Yamabe K, Abe M. Rapid regrowth of a capillary hemangioma of the thoracic spinal cord. Neurol Med Chir (Tokyo) 2012;52:665‑9.
7. Abe M, Tabuchi K, Tanaka S, Hodozuka A, Kunishio K, Kubo N, et al. Capillary hemangioma of the central nervous system. J Neurosurg2004;101:73‑81.
8. Hida K, Tada M, Iwasaki Y, Abe H. Intramedullary disseminated capillary hemangioma with localized spinal cord swelling: Case report. Neurosurgery 1993;33:1099‑101.
10. Wu L, Deng X, Yang C, Xu Y. Intramedullary spinal capillary hemangiomas: Clinical features and surgical outcomes: Clinical article. J Neurosurg Spine 2013;19:477‑84.
11. Gonzalez R, Spears J, Bharatha A, Munoz DG. Spinal lobular capillary hemangioma with an intramedullary component. Clin Neuropathol2014;33:38‑41.
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
The authors report no conflicts of interest in this work.
About this article
Cite this article
S. Devanand Senthil Kumar, Anbazhagan P., Arun Prasadh T.P. Intramedullary Capillary Hemangioma of Conus Medullaris : Case Report and Review of Literature. J Surg. Nurs. 2025; 14(2): 31-34.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.