Pure thoracic spinal epidural cavernous hemangioma (SECH)

Cavernous hemangiomas (CHs) can be found in all intracranial structures, especially in the brain parenchyma. Most spinal hemangiomas are of vertebral origin. Spinal cavernous hemangiomas that do not hold the vertebrae are called "pure" types. Pure spinal epidural cavernous hemangiomas (SECHs) are very rare and account for approximately 4% of all epidural lesions. Here is a case of pure thoracic SECH detected in a 42-year-old female patient with progressive paraparesis and sensory loss below the T8 sensory dermatome for the last 2 months presented. Cavernous hemangioma should not be forgotten among the options in the differential diagnosis of spinal epidural tumors.