Acute spinal cord compression caused by atypical vertebral hemangioma

Abstract

Vertebral hemangioma is common, benign lesion that occurs mostly in the body of vertebral bones and is mostly asymptomatic although they may occasionally extend into the posterior elements. An isolated location in the neural arch of vertebrae is extremely rare. An acute spinal cord compression by an exceptional hemangioma involving spinous process of the seventh thoracic vertebra and respecting vertebral body in a 40-year-old woman is reported. On magnetic resonance imaging of the spine, the lesion was hypointense on T1-weighted image, hyperintense on T2-weited image, and enhancing avidly, causing compression of spinal cord. Our case is exceptional by the rapidly character of symptom installation and by atypical and elective involvement of spinous process.

Cavernous Hemangioma of Spinal Cord: A Clinical Image

“…Aggression of hemangiomas into the epidural and foraminal space is rare and can cause soft tissue compression. Actually, Neurologic deficit and is one of the rare complication of this lesion [1,3]. In our case, a mass was detected in spinal foramen and it was the cause of the low back pain.…”

“…Surgery is a good treatment strategy. But there is huge concern about following bleeding [2][3][4]. In our case, surgery was done and it was successful.…”

“…These tumors usually appear on the skin [1]. Vertebral hemangioma is asymptomatic, common, and be- There have been few case reports of spinal cord hemangioma so we intend to report some interesting and rare images on this topic [1][2][3]. nign lesion with an incidence of 10-12% and can cause acute spinal cord compression.…”

Accuracy of diffusion-weighted imaging in discriminating atypical vertebral haemangiomas from malignant masses in patients with vertebral lesions: a cross-sectional study

“…These lesions do not contain the high fat content of normal haemangiomas, and they have a rich vascular structure [ 6 ]. Although atypical haemangiomas are usually symptom free and less common than the typical kind, they are of clinical importance because they can be mistaken for malignant lesions in imaging modalities – this is because they are hypo intense in T1 sequences and hyper intense in T2, resembling metastasis [ 7 ]. Histopathologically, atypical haemangiomas do not resemble metastases, which comprise dense bodies of tightly packed small malignant cells.…”