Unusual imaging presentation of spinal glomus tumor: case report

A glomangioma, also known as a glomus tumor, is a benign lesion and had rare occurrence of spine region. In this study, we presented a spinal glomus tumor with an unusual radiological presentation, which is different from osteolytic intraosseous patterns illustrated before. A 26-year-old male with compressive myelopathy caused by epidural intraspinal lesion over T11 level. Radiological presentation revealed reactive sclerotic change over the body and lamina was found on the same level in computed tomography (CT) examination. Surgical resection was applied for en bloc tumor resection. The patient had well recovery after surgery. The pathology revealed cavernous haemangioma-like vascular structures, compatible with glomus tumor. Radiological diagnosis of spinal glomus tumor has limitation and difficulty preoperatively. Surgical intervention was suggested for patient with clinical neurological deficit and pathological approval.