Vertebral haemangioma causing cord compression: MRI findings

Puvaneswary, M; Cuganesan, Ramesh; Barbarawi, Mohamed Al; Spittaler, Peter J

doi:10.1046/j.0004-8461.2003.01151.x

Cited by 11 publications

(7 citation statements)

References 8 publications

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“…They tend to erode the horizontal trabeculae of the vertebral bodies, thus leading to the appearance of accentuated, thickened vertical trabeculae, giving rise to “Corduroy or jailhouse striation” appearance in lateral X-ray or sagittal CT scan 14. In axial CT scans, they give the appearance of a “Polka-dot” or “spike of bone” pattern because the vertical trabeculae are imaged in cross section 15. MRI may provide additional information regarding the aggressiveness of the hemangioma.…”

Section: Discussionmentioning

confidence: 99%

Outcome of dorsolumbar vertebral hemangiomas presenting with neuraxial compression

Nair

Kumar

Srivastav

et al. 2012

IJOO

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Background:Hemangiomas are benign vascular tumors associated with proliferation of blood vessels in bone or soft tissue and they are usually incidental findings in vertebrae. When symptomatic, they present with features of radiculopathy, myelopathy, or vertebral fractures. Treatment options are varied, include sole embolization, embolization combined with surgical excision, surgical excision alone, percutaneous ablation, and radiotherapy. We hereby describe a series of seven cases of symptomatic vertebral hemangiomas operated from 2006 to 2009.Materials and Methods:Their clinical and radiological profile and outcome have been described. All patients were subjected to surgical excision followed by instrumentation. Outcome was assessed at a followup of 2 years following surgery with Frankel grading system.Results:Seven patients (five females and two males) were included in the study. The mean age was 33.85 years with the mean duration of symptoms of 12 months. All seven cases were symptomatic vertebral hemangiomas with cord compression and underwent surgical excision. Preoperatively, patients with poor Frankel grade such as A and B improved postoperatively to C, D, or E.Conclusion:Surgical excision of these lesions is difficult due to the tremendous amount of intraoperative bleeding. During surgery, brisk bleeding is usually encountered, but can be brought under control with adequate preoperative preparation and expertize. Preoperative embolization may help to reduce the bleeding, but at times it may be difficult to do if vertebrae are replaced by a solid hard mass. In spite of the risks associated with surgery, it still is the treatment of choice as a single intervention, especially in aggressive vertebral hemangiomas.

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Section: Discussionmentioning

confidence: 99%

Outcome of dorsolumbar vertebral hemangiomas presenting with neuraxial compression

Nair

Kumar

Srivastav

et al. 2012

IJOO

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“…4,5 Nowadays, MRI is the gold standard for investigation 6 and vertebral angiogram is recommended when vascularity of the lesion needs to be assessed. 7 In this case, no angiogram was performed since the injection of PMMA through the pedicle had been done, and thus no increased hemorrhage was anticipated. Hemangiomas of the spine must be distinguished from metastatic tumors, giant cell tumors of spine, and aneurysmal bone cysts.…”

Section: Discussionmentioning

confidence: 99%

Lumbar vertebral hemangioma mimicking lateral spinal canal stenosis: Case report and review of literature

Syrimpeis

Vitsas

Korovessis

2013

The Journal of Spinal Cord Medicine

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“…6 This rare feature of hemangioma causes cord and nerve compression. 7,8 With the limited number of clinical reports on this rare condition, it is difficult to conclude what the most common manifestations are likely to be myelopathy is non-specific.…”

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confidence: 98%

Extraosseous Extension of Vertebral Hemangioma From Posterior Elements of Vertebra, a Rare Feature of Vertebral Hemangioma and Spinal Cord Compression

Lotfinia¹,

Khallaghi²,

Vahedi³

2006

Neurosurgery Quarterly

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Hemangioma is the most common tumor of vertebral column. This lesion is often without any symptoms or signs and is an incidental finding on imaging. However, in rare cases, tumor expansion into spinal canal produces neurologic deficits due to spinal cord and nerve root compression. In this case, we report a 26-year-old man presenting with neurologic deficits after extraosseous extension of hemangioma from posterior elements of T4 into spinal canal. The radiologic findings and treatment modalities are discussed.

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Vertebral haemangioma causing cord compression: MRI findings

Abstract: A case of a thoracic intraosseous cavernous haemangioma extending into the extradural and paravertebral spaces with a dumbbell-shaped paravertebral component is presented.

Cited by 11 publications

References 8 publications

Outcome of dorsolumbar vertebral hemangiomas presenting with neuraxial compression

Outcome of dorsolumbar vertebral hemangiomas presenting with neuraxial compression

Lumbar vertebral hemangioma mimicking lateral spinal canal stenosis: Case report and review of literature

Extraosseous Extension of Vertebral Hemangioma From Posterior Elements of Vertebra, a Rare Feature of Vertebral Hemangioma and Spinal Cord Compression

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