• Irene Panero, Carla Eiriz, Alfonso Lagares, Oscar Toldos, Alberto Panero, and Igor Paredes.
• Department of Neurosurgery, 12 de Octubre University Hospital, Madrid, Spain. Electronic address: ipanero903@hotmail.com.
• World Neurosurg. 2017 Dec 1; 108: 988.e7-988.e14.

ObjectivesCapillary hemangiomas are benign vascular tumors. They are commonly founded in the vertebral bodies but very seldom in the spinal cord. The most common symptom at onset is long-lasting axial pain without neurologic deficit. In rare cases, the onset may be acute with neurological deficit due to an intratumoral hemorrhage.Patient And MethodsWe report a case of a 58-year-old male with a history of 15 days upper back pain triggered by a mild traumatism that evolves acutely to paraplegia and urinary and fecal retention. An urgent MR showed an intradural lesion with signs of intratumoral haemorrhage.ResultsUrgent surgical intervention was performed and the anatomopathological results were capillary hemangioma. The symptoms of the patient improved after the surgery.ConclusionsIntradural capillary hemangioma with acute intratumoral hemorrhage is a rare pathology, but it must be kept in mind because early diagnosis and treatment are key to achieve a good outcome. As far as we know, this is the first case reported of an intradural-extramedular capillary hemangioma that presents sudden neurologic deficit due to intratumoral bleeding.Copyright © 2017 Elsevier Inc. All rights reserved.

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