Vertebral hemangiomas presenting with neurologic symptoms

Nǵuyen, Jean-Paul; Djindjian, M; Gaston, André; Gherardi, Romain K.; Benhaiem, N; Caron, J; Poirier, Jean‐Paul

doi:10.1016/0090-3019(87)90020-6

Cited by 135 publications

(72 citation statements)

References 7 publications

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“…2,9) In this case, adjuvant therapy was not given for the residual tumor, as we performed extensive subtotal resection, and the symptoms did not recur for a considerable period after the operation. Further follow up is required, and radiotherapy will be considered in the case of recurrence.…”

Section: Discussionmentioning

confidence: 97%

Symptomatic T2 Vertebral Hemangioma in a Pregnant Woman Treated by One Stage Combination Surgery; Posterior Stabilization and Anterior Subtotal Tumor Resection -Case Report-

Shinozaki

Morita

Kamijo

et al. 2010

Neurol. Med. Chir.(Tokyo)

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A 27-year-old woman presented with vertebral hemangioma manifesting as sudden onset of paraplegia, and bladder and bowel dysfunction during pregnancy. Magnetic resonance imaging revealed a mass lesion that had infiltrated into the entire T2 vertebral body and expanded to the vertebral canal. Laminectomy from T1 to T3 and biopsy of the lesion were performed. Biopsy confirmed the diagnosis of vertebral hemangioma, but laminectomy resulted in no neurological changes. The patient was transferred to our hospital, where radical treatment comprising embolization of the feeding arteries, posterior stabilization of the vertebrae, and anterior excision of the tumor was performed. Symptoms resolved gradually but steadily, and she made a full recovery by 18 months postoperatively. Radical operation might be extremely effective for extradural vertebral hemangioma, even in the delayed phase or in the presence of severe neurological deficit.

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Section: Discussionmentioning

confidence: 97%

Symptomatic T2 Vertebral Hemangioma in a Pregnant Woman Treated by One Stage Combination Surgery; Posterior Stabilization and Anterior Subtotal Tumor Resection -Case Report-

Shinozaki

Morita

Kamijo

et al. 2010

Neurol. Med. Chir.(Tokyo)

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“…[1] First described by Perman in 1926, followed by Bailey and Bucy in 1930, vertebral hemangiomas are commonest benign lesions of the spinal column with an estimated incidence of 10-12% based on large autopsy series and reviews of spinal radiographs. Typically these are incidental findings and are symptomatic in only 0.9 to 1.2% [2] of adults and are known as aggressive vertebral hemangiomas presenting with radiculopathy or spinal cord compression, commonly seen in thoracic spine.…”

Section: Discussionmentioning

confidence: 99%

“…[1] Majority of the vertebral hemangiomas are asymptomatic and are incidental findings on imaging with only less than 1% presenting with features of radiculopathy or cord compression known as aggressive vertebral hemangiomas. [2] Here we present a case of aggressive vertebral hemangioma involving D4 vertebra presenting with paraparesis secondary to extradural component with aim of highlighting the various imaging spectrum of this unusual sub type along with features on digital substraction angiography.…”

Section: Introductionmentioning

confidence: 99%

Atypical Presentation of Aggressive Vertebral Hemangioma with Spinal Cord Compression

Sharma¹,

Banode²

2015

Int Jour of Biomed Res

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Symptomatic aggressive vertebral hemangiomas are rare sub variety of much common benign asymptomatic vertebral hemangioma presenting with bone expansion, extra osseous extension, epidural soft tissue component, compression fracture leading to neural and or cord compression. It can present with diagnostic dilemma especially in elderly patient mimicking serious pathology like metastasis. We present a case report of an elderly female presenting with progressive paraparesis, diagnosed for aggressive vertebral hemangioma and managed by preoperative embolisation and decompressive surgery. This article highlights the imaging spectrum including spinal angiography in such conditions.

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“…CT is the procedure of choice for patients with symptomatic hemangiomas, as it determines the extent of the lesion and the site of compression, if present, and it reveals lesions in other vertebrae that an X-ray may have failed to demonstrate [26,32,38]. Magnetic resonance imaging (MRI) is useful, especially in differentiating a hemangioma from other tumors; it is valuable in pre-operative planning and it can provide additional information regarding the aggressiveness of the lesion [14,27].…”

Section: Discussionmentioning

confidence: 99%

“…Observation, radiation or embolization [10,12,24,31,44] and surgical decompression [13,16,20,24,30,32,36,37] are the various stages of management, and they are employed according to the patient's situation. Surgical decompression must be performed when there is a progressive neurologic decline [1,30,32]. The greatest risk is excessive blood loss during the resection of the lesion, or postoperative epidural hematoma [13,16,20,24,37].…”

Section: Discussionmentioning

confidence: 99%

Pain pattern in multiple vertebral hemangiomas involving non-adjacent levels: report of two cases

Korres

Karachalios

Roidis

et al. 2000

European Spine Journal

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IntroductionHemangioma is a benign tumor consisting of blood vessels. There are two types: generalized and localized. In the generalized type there is involvement of multiple organs such as the liver, skin and bone [7]. Localized hemangiomas are the most common. In the skeleton, the most common site is the spine, followed by the skull and pelvis. Hemangiomas are often asymptomatic and discovered accidentally, but they may cause back pain or spinal cord compression in some cases. Radiographic and CT evidence of the hemangioma are characteristic. Multiple lesions of the spine are rather uncommon. Management of the patient depends on the severity of the symptoms, and may be either conservative or surgical.We present the cases of two patients with multiple hemangiomas of the spine involving multiple non-adjacent vertebrae and we comment on the possible clinical significance of their presentation. Case reports Case 1A 68-year-old man initially presented at the outpatient clinic because of persistent low back-pain. Radiographs revealed hemangiomas of the L3 and L4 vertebrae (Fig. 1). Conventional radiographs of the upper spine were normal. The patient was treated by conservative means. He was given non-steroidal anti-inflammatory drugs (NSAID) and a course of physiotherapy, and he was soon symptom free. At a follow up examination 1 year later, he was symptom free and was discharged. He was advised to attend annual follow-up examinations but did not.The patient came back to the clinic 15 years later complaining of suffering acute back pain localized in the area of T8-T10 during the previous 3 months. Common pain-killers gave him no relief. On examination, there was no evidence of neurologic involvement,

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Vertebral hemangiomas presenting with neurologic symptoms

Cited by 135 publications

References 7 publications

Symptomatic T2 Vertebral Hemangioma in a Pregnant Woman Treated by One Stage Combination Surgery; Posterior Stabilization and Anterior Subtotal Tumor Resection -Case Report-

Symptomatic T2 Vertebral Hemangioma in a Pregnant Woman Treated by One Stage Combination Surgery; Posterior Stabilization and Anterior Subtotal Tumor Resection -Case Report-

Atypical Presentation of Aggressive Vertebral Hemangioma with Spinal Cord Compression

Pain pattern in multiple vertebral hemangiomas involving non-adjacent levels: report of two cases

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