Atypical Presentation of Aggressive Vertebral Hemangioma with Spinal Cord Compression

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.