Comprehensive Management of Symptomatic and Aggressive Vertebral Hemangiomas

Acosta, Frank L.; Sanai, Nader; John, H.; Dowd, Christopher F.; Chin, Cynthia T.; Tihan, Tarık; Chou, Dean; Weinstein, Philip; Ames, Christopher P.

doi:10.1016/j.nec.2007.09.010

Cited by 125 publications

(111 citation statements)

References 60 publications

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“…However, I agree with the authors that aggressive vertebral hemangioma is biologically distinct and therefore the treatment should be distinct [6].…”

Section: Treatmentsupporting

confidence: 75%

Expert’s Comment concerning Grand Rounds case entitled “Aggressive vertebral hemangioma of the thoracic spine without typical radiological appearance” (Lei Dang, Chen Liu, Shao Min Yang, Liang Jiang, Zhong Jun Liu, Xiao Guang Liu, Hui Shu Yuan, Feng Wei, Miao Yu)

Fourney

2012

Eur Spine J

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“…However, I agree with the authors that aggressive vertebral hemangioma is biologically distinct and therefore the treatment should be distinct [6].…”

Section: Treatmentsupporting

confidence: 75%

Expert’s Comment concerning Grand Rounds case entitled “Aggressive vertebral hemangioma of the thoracic spine without typical radiological appearance” (Lei Dang, Chen Liu, Shao Min Yang, Liang Jiang, Zhong Jun Liu, Xiao Guang Liu, Hui Shu Yuan, Feng Wei, Miao Yu)

Fourney

2012

Eur Spine J

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“…Medullar or radicular compression dominates among other clinical signs. The epidural extension of vertebral hemangioma in the concentric reduction of the spinal canal is the most common (8,10). Painful vertebral hemangioma can be treated in a number of ways.…”

Section: Discussionmentioning

confidence: 99%

“…Surgery is indicated in aggressive and painful hemangiomas causing acute neurological compromise but may be complicated by excessive hemorrhage or a consumptive coagulopathy (8,11). Emergent laminectomy should be performed in all cases of progressive neurological compromise (11).…”

Section: Discussionmentioning

confidence: 99%

Management of Cement Vertebroplasty in the Treatment of Vertebral Hemangioma

Boschi

Pogorelić²,

Gulan³

et al. 2011

Scand J Surg

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Results: in all the patients a successful outcome has been observed with a complete resolution of pain symptom. extravertebral vascular cement leakage has been observed in 3 patients, without any clinical radicular syndrome onset due to the epidural diffusion. clinical and radiological follow-up showed stability of the treatment and absence of pain in all patients.Conclusion: percutaneous treatment with vertebroplasty for symptomatic vertebral hemangiomas is a valuable, less-invasive, and a quick method that allows a complete and enduring resolution of the painful vertebral symptoms without findings of the vertebral body's fracture.

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“…Our patient presented with backache without any neurological deficits. They are often found incidentally by plain radiographs, CT and/or MRI [5,6].…”

Section: Discussionmentioning

confidence: 99%

“…Post-contrast study shows heterogeneous enhancement in the D12 vertebral lesion with mild anterior epidural enhancing soft tissue component [Fig.3,4]. Peculiar "polka dot" appearance was seen on axial CT images and "corduroy cloth or jail bar" appearance was seen on sagittal and coronal reformatted CT images in D12 vertebral body [Fig.5,6].…”

Section: Case Reportmentioning

confidence: 99%

Pre and Post Radiotherapy Imaging findings of Aggressive Vertebral Haemangioma of the Thoracic Spine

Bagul¹,

Mehra²

2016

JCR

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Abstract:Vertebral hemangiomas (VH) are common unifocal or multifocal benign lesions in spine imaging with incidence of 10%-12%. Patients are usually asymptomatic and often vertebral hemangioma is incidental finding on imaging. An aggressive or atypical vertebral hemangiomas have associated imaging features like extraosseous extension, compression fractures, vertebral ballooning & soft tissue components exist with incidence of 1% to 3%. Treatment protocols for aggressive VHs include combination of radiotherapy, vertebroplasty, alcohol injection, embolization, and surgery. We present a case of 24 year female patient having aggressive D12 vertebral hemangioma showing extra-osseous extension, ballooning and small intra-spinal soft tissue component not causing cord compression and follow up imaging after completion of radiotherapy.

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Comprehensive Management of Symptomatic and Aggressive Vertebral Hemangiomas

Cited by 125 publications

References 60 publications

Expert’s Comment concerning Grand Rounds case entitled “Aggressive vertebral hemangioma of the thoracic spine without typical radiological appearance” (Lei Dang, Chen Liu, Shao Min Yang, Liang Jiang, Zhong Jun Liu, Xiao Guang Liu, Hui Shu Yuan, Feng Wei, Miao Yu)

Expert’s Comment concerning Grand Rounds case entitled “Aggressive vertebral hemangioma of the thoracic spine without typical radiological appearance” (Lei Dang, Chen Liu, Shao Min Yang, Liang Jiang, Zhong Jun Liu, Xiao Guang Liu, Hui Shu Yuan, Feng Wei, Miao Yu)

Management of Cement Vertebroplasty in the Treatment of Vertebral Hemangioma

Pre and Post Radiotherapy Imaging findings of Aggressive Vertebral Haemangioma of the Thoracic Spine

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