Intradural spinal capillary hemangioma mimicking thoracic meningioma

Capillary hemangiomas are benign vascular lesions that frequently involve the soft tissues of the head and neck. Less commonly, these lesions can be found along the spinal neuroaxis. The differential diagnosis of a spinal intradural extramedullary lesion is led by meningioma and nerve sheath tumors. We present the case of a spinal capillary hemangioma mimicking a spinal meningioma and suggest this pathology should be considered in the differential diagnosis of similar lesions in the spinal intradural extramedullary space. This diagnostic consideration is important as it may impact treatment planning, surgical decision making, and complication avoidance.