Management of symptomatic vertebral haemangioma in a resource challenged environment

Adeolu, Augustine Abiodun; Balogun, James A.; Adeleye, Amos Olufemi; Adeoye, Peter Oladapo; Okolo, Clement Abu; Ogbole, Godwin

doi:10.1007/s00381-010-1101-6

Cited by 15 publications

(8 citation statements)

References 5 publications

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“…Most of the lesions are asymptomatic, found incidentally on radiological imaging. Only 0.9-1.2% of these tumours are symptomatic and active [1,10,11].…”

Section: Discussionmentioning

confidence: 99%

Aggressive vertebral hemangioma as a rare cause of myelopathy

Sarı

Uludağ

Akarırmak

et al. 2014

BMR

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Vertebral hemangiomas (VHs) are common lesions in the adult population. They are usually asymptomatic and found incidentally on radiological imaging. New-onset back pain followed by subacute progression of thoracal myelopathy is the most common presentation in patients with neurological deficit. Differential diagnoses would include metastasis, multiple myeloma, lymphoma, Paget disease, osseous tumors such as Ewing sarcoma or hemangioblastoma and blood dyscrasia. We present a 41 year-old-male patient with thoracal VH causing myelopathy that completely improved after rehabilitation program with embolization and vertebroplasty procedures.

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“…Most of the lesions are asymptomatic, found incidentally on radiological imaging. Only 0.9-1.2% of these tumours are symptomatic and active [1,10,11].…”

Section: Discussionmentioning

confidence: 99%

Aggressive vertebral hemangioma as a rare cause of myelopathy

Sarı

Uludağ

Akarırmak

et al. 2014

BMR

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“…She was one of the cases reported by Adeolu et al with this condition. [7] She was paraparetic from compression by the lesion. She subsequently underwent one-stage transthoracic T corpectomy and iliac crest graft as well as hemilaminectomy, excision of the extradural mass, and stabilization with our technique.…”

Section: Discussionmentioning

confidence: 99%

Outcome of a posterior spinal fusion technique using spinous process wire and vertical strut

Adeolu

Komolafe

2014

Ann Afr Med

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“…Various modality of treatment which includes conservative treatment, surgical excision, injection sclerotherapy, cryotherapy, laser treatment, angiographic embolization, angioplasty/binding of feeder vessels, use of angiogenesis inhibitor drugs, and especially the use of corticosteroids which are readily available have given good results in many centers [ 6 , 12 , 15 , 16 ]. However, in many evolving pediatric surgical centers particularly in sub-Saharan Africa, there are limited approaches to management owing to lack of facilities [ 17 ]. The management of vascular anomalies in such resource-limited centers remains a major challenge especially when the lesion is located in sensitive places and in patients presenting with life threatening complications [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, in many evolving pediatric surgical centers particularly in sub-Saharan Africa, there are limited approaches to management owing to lack of facilities [ 17 ]. The management of vascular anomalies in such resource-limited centers remains a major challenge especially when the lesion is located in sensitive places and in patients presenting with life threatening complications [ 16 , 17 ]. There are, however, paucity of published local data regarding the challenges and outcome of surgical management of childhood vascular anomalies in this Africa sub-region [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…The management of vascular anomalies in such resource-limited centers remains a major challenge especially when the lesion is located in sensitive places and in patients presenting with life threatening complications [ 16 , 17 ]. There are, however, paucity of published local data regarding the challenges and outcome of surgical management of childhood vascular anomalies in this Africa sub-region [ 17 ]. The aim of this study was to describe our own experience on the surgical management of vascular anomalies in children outlining the role of surgery in the management of very symptomatic vascular anomalies that may not respond to other modalities of treatment.…”

Section: Introductionmentioning

confidence: 99%

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Surgical management of vascular anomalies in children at a tertiary care hospital in a resource-limited setting: a Tanzanian experience with 134 patients

et al. 2015

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BackgroundVascular anomalies pose major diagnostic and therapeutic challenges among pediatricians and pediatric surgeons practicing in resource limited countries. There is paucity of published data regarding this subject in Tanzania and Bugando Medical Centre in particular. This study describes our experiences on the challenges and outcome of surgical management of childhood vascular anomalies in our environment.MethodsBetween January 2009 and December 2013, a prospective study on the surgical management of vascular anomalies was undertaken at Bugando Medical Centre.ResultsA total of 134 patients (M; F = 1:2.5) were studied. The median age at presentation was 6 years. Of the 134 patients, 101 (75.4 %) were diagnosed as having vascular tumors and 33 (24.6 %) had vascular malformations. The head and the neck were the most frequent anatomical site recorded as having a tumor (56.7 % of patients). Out of 134 patients, 129 (96.3 %) underwent surgical treatment. Failure to respond to non-operative treatment (86.8 %), huge disfiguring/obstructing mass (4.7 %), infection (3.1 %), ulceration (3.1 %) and hemorrhage (2.3 %) were indications for surgical intervention. Tumor excision and primary wound closure was the most common type of surgical procedure performed in 80.6 % of patients. Surgical site infection was the most frequent complications accounting for 33.8 % of cases. Mortality rate was 1.5 %. Tumor excision and primary wound closure gave better outcome compared with other surgical options (p < 0.001). Outcome of injection sclerotherapy in 3 (3.7 %) children, serial ligation of feeder vessels employed in 2 (1.6 %), and conservative treatment in 5 (3.7 %), were poor and required conversion to surgical excision. Despite low mortality rate recorded in this study, but ugly scar, 14 (20.6 %) and limb deformity, 6 (8.8 %) were problems. The overall result of surgical treatment at the end of follow up period was excellent in 108 (87.1 %) patients.ConclusionSurgical excision and primary wound closure gave good outcome which could be employed in complicated and vascular anomalies which failed to respond to other treatment in regions with limited resources.

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Management of symptomatic vertebral haemangioma in a resource challenged environment

Abstract: We have presented two cases with rewarding outcomes in the face of 'adaptive' instrumentation due to limited resources.

Cited by 15 publications

References 5 publications

Aggressive vertebral hemangioma as a rare cause of myelopathy

Aggressive vertebral hemangioma as a rare cause of myelopathy

Outcome of a posterior spinal fusion technique using spinous process wire and vertical strut

Surgical management of vascular anomalies in children at a tertiary care hospital in a resource-limited setting: a Tanzanian experience with 134 patients

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