Abstract
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.
Highlights
Hemangiomas are congenital benign vascular malformation of dysembryogenetic or hamartomatous origin.[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]
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
Summary
Hemangiomas are congenital benign vascular malformation of dysembryogenetic or hamartomatous origin.[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
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
