Surgical Management of Osseous Hemangioblastoma of the Thoracic Spine: Technical Case Report

Steinmetz, Michael P.; Claybrooks, Roderick; Krishnaney, Ajit A.; Prayson, Richard A.; Benzel, Edward C.

doi:10.1227/01.neu.0000176709.19954.eb

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…Freidman (10) suggested that aggressive hemangioma should be considered with the following characteristics: female patient, marked hyperintensity on T2, intrasseous signal voids or mottled appearance, midthoracic location, and enlarged paraspinal vessels. Differential diagnoses would include osseous tumor such as Ewing sarcoma (11) or Hemangioblastoma (12).…”

Section: Discussionmentioning

confidence: 99%

Unusual Cause of Back Pain in an Adolescent Patient: A Case Report and Natural History of Aggressive Vertebral Hemangioma in Children

Jha

2008

Pain Phys

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Back pain is an unusual complaint in children as compared to the adult population but is more likely to be pathological. We present a longitudinal study of an 11-year-old patient who presented with a vertebral hemangioma which remained stable for a period of about 20 months followed by aggressive growth resulting in spinal cord compression. This is only the fourth reported case of aggressive vertebral hemangioma in children; however, we document for the first time the evolution of this lesion demonstrating a period of stability followed by aggressive growth of the lesion. We discuss the imaging differential diagnosis which includes asymptomatic vertebral hemangioma and malignant lesions. We also discuss different treatment options available and their complications. In our patient, among the risk factors for an aggressive hemangioma, female gender and involvement of posterior elements were positive. However, the natural history of this lesion is not well known in children. We need to study vertebral hemangioma further especially in children to understand the natural course and help identify lesions which have aggressive potential and prevent spinal cord compression. This will also help to manage the lesion earlier with less aggressive therapies such as embolization and ethanol injection rather than surgery. Key words: back pain, pediatrics, vertebral hemangioma

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Section: Discussionmentioning

confidence: 99%

Unusual Cause of Back Pain in an Adolescent Patient: A Case Report and Natural History of Aggressive Vertebral Hemangioma in Children

Jha

2008

Pain Phys

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Endovascular Treatment of Vascular and Nonvascular Diseases of the Spine

Rahimi¹,

Shaibani²,

Wakhloo³

2010

Image-Guided Spine Interventions

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Intraosseous Hemangioblastoma Mimicking Spinal Metastasis in the Patient with Renal Cell Carcinoma

Cho

Lee

Kim

et al. 2011

J Korean Neurosurg Soc

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Sporadic osseous hemangioblastomas in the vertebra are extremely rare and they can be misdiagnosed as a vertebral hemangioma or metastasis in imaging studies. We report an intraosseous hemangioblastoma that arose from the 11th thoracic vertebra and was diagnosed initially as a metastasis in a patient with renal cell carcinoma. Diagnosis, surgical treatment and adjuvant radiosurgery of such case in reference to the literature are discussed.

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Surgical Management of Osseous Hemangioblastoma of the Thoracic Spine: Technical Case Report

Cited by 3 publications

References 4 publications

Unusual Cause of Back Pain in an Adolescent Patient: A Case Report and Natural History of Aggressive Vertebral Hemangioma in Children

Unusual Cause of Back Pain in an Adolescent Patient: A Case Report and Natural History of Aggressive Vertebral Hemangioma in Children

Endovascular Treatment of Vascular and Nonvascular Diseases of the Spine

Intraosseous Hemangioblastoma Mimicking Spinal Metastasis in the Patient with Renal Cell Carcinoma

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