Dumbbell-shaped Extraosseous Spinal Capillary Hemangioma: A Rare Differential

Abstract Extraosseous spinal capillary hemangioma (EOSCH) is a rare tumor that can develop in various locations within the spinal cord, including extradural, intradural, extramedullary, or intramedullary spaces. We present the case involving a 50-year-old male who reported experiencing progressive spastic paraparesis for 3 months. Radiological evaluation through contrast-enhanced magnetic resonance imaging of the thoracic spine revealed a distinct intradural mass at the D7 vertebral body. The mass extended along the left neural foramina, exhibiting a broadened shape and displacing the spinal cord toward the right anterolateral side, with potential extension alongside the cord near the central canal. The patient underwent surgical intervention for this spinal mass, with good clinical and radiological outcomes.