Spinal intramedullary cavernous angioma patient in a pain clinic - A case report -

Abstract

Background: Spinal intramedullary cavernous angioma is a rare form of spinal cord tumorthat is associated with myelopathy and significant morbidity and surgical treatment is almostalways required.Case: We report a case of spinal intramedullary cavernous angioma in a pain clinic with initialsymptoms of unilateral interdigital space sensory change. Morton’s neuroma and piriformissyndrome were clinically suspected, however, symptoms acutely aggravated, andparaplegia developed following the patient’s COVID-19 vaccination. Vaccine-associated sideeffects were ruled out and spinal intramedullary cavernous angioma was confirmed throughmagnetic resonance image. The patient underwent surgery for complete mass excision.Conclusions: Recent reports of COVID-19 vaccine-associated side effects have raised sensitiveconcerns to both health care providers and the public, that in some cases when thesymptoms coincide with vaccination history, it may delay time-sensitive diagnosis and treatmentand spend unnecessary costs.