Aggressive Vertebral Hemangioma Presenting in Postpartum Period: A Case Report

Ghosh, Somali; Dhoot, Nilu Malpani; Goenka, Usha; Baid, Prashant

doi:10.32677/ijcr.2020.v06.i03.009

Cited by 1 publication

(7 citation statements)

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“…This increases the intra-abdominal pressure which results in redistribution of blood flow particularly through the vertebral venous plexus. 1,4 These features lead to an increase in volume of the haemangioma and associated mass effect. Hormonal: increased progesterone and oestrogen levels during the third trimester cause endothelial proliferation and venous distensibility due to increase in plasma volume.…”

Section: Discussionmentioning

confidence: 99%

“… Hormonal: increased progesterone and oestrogen levels during the third trimester cause endothelial proliferation and venous distensibility due to increase in plasma volume. 1,3,4 Relaxin, a hormone produced by the placenta, possibly plays a role due to its vasodilatory effect. 1 …”

Section: Discussionmentioning

confidence: 99%

“… 1,3,4 Relaxin, a hormone produced by the placenta, possibly plays a role due to its vasodilatory effect. 1 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…They are common in the female population and are mainly located in the thoracic spine, representing 10–12% of spinal tumours. They are symptomatic in only 1% of cases 1–3 and are usually incidental findings on routine MRI scans for other diseases. The haemangioma can become symptomatic depending on the location and the size.…”

Section: Introductionmentioning

confidence: 99%

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Sudden perceived absence of foetal movement – a unique presentation of a vertebral haemangioma in pregnancy

et al. 2022

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Objective: Symptomatic vertebral haemangiomas that present during pregnancy are extremely uncommon with few cases reported in literature. Epidural haemangiomas are rarer still with few documented. Methods: In this report, we describe the case of a 22-year-old pregnant patient who presented with apparent loss of foetal movement at 38 weeks’ gestation. Clinical review demonstrated the foetus was well but neurological examination revealed lower limb paresthesia, paresis, and evident uterine hypoesthesia. An MRI scan illustrated a haemangioma in the T1 vertebral body with an epidural component causing cord compression. Results: The management of spinal haemangiomas that present during pregnancy is a complex clinical scenario which requires careful multidisciplinary consideration to determine if surgical intervention is appropriate. In this case, the patient had an emergency caesarean section followed by posterior decompression and laminectomy of the T1 vertebra with excellent post-operative recovery. Conclusion: Gestational increase in the size of vertebral haemangiomas is well documented. We discuss a rare case in which a young pregnant patient presents with an atypical symptom of a vertebral haemangioma (uterine hypoesthesia). This case highlights the importance of prompt imaging in these scenarios and a cohesive multidisciplinary approach in order to provide optimal treatment for the patient.

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Section: Discussionmentioning

confidence: 99%