Vertebral hemangiomas: radiologic evaluation.

Larédo, Jean-Denis; Reizine, D.; Bard, M.; Merland, J J

doi:10.1148/radiology.161.1.3763864

Cited by 233 publications

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“…Diagnosis of asymptomatic lesions is commonly an incidental finding on spinal radiological investigations. However, the features displayed on angiography, CT, or MR imaging may differ between asymptomatic lesions, which possess normal or slightly increased vascularity, and symptomatic lesions, which show moderate to intense hypervascularity [16,26]. Due to their increased blood flow, symptomatic cavernous malformations may expand in vertebral bodies, producing bony erosion in some areas and reactive vertical trabeculation in others.…”

Section: Discussionmentioning

confidence: 99%

“…Due to their increased blood flow, symptomatic cavernous malformations may expand in vertebral bodies, producing bony erosion in some areas and reactive vertical trabeculation in others. On plain radiographs, vertebral bodies may display coarse vertical striations [ 12,16], while on CT they present a "polka dot" appearance [8]. Angiography is essential in the diagnosis of vertebral cavernous malformations, and MR imaging may delineate their extraosseous components better than CT [28].…”

Section: Discussionmentioning

confidence: 99%

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Cavernous angiomas of the spinal district: surgical treatment of 11 patients

et al. 1997

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Cavernous angiomas, also called cavernous malformations or cavernomas, are vascular hamartomas accounting for 3-16% of all angiomatous lesions of the spinal district. Although histologically identical, these vascular anomalies may exhibit different clinical behavior and radiological features, depending on their location, hinting at different managements and therapeutic approaches. The authors report 11 cases of symptomatic spinal cavernous angiomas diagnosed and surgically treated over the past 18 years. Age of patients ranged from 15-75 years; males outnumbered females. Three patients had vertebral cavernous malformations, secondarily invading the epidural space; two had pure epidural lesions; two patients had intradural extramedullary lesions, and four intramedullary lesions. Surgical removal was completely achieved in four patients with intramedullary lesions, in two with subdural extramedullary lesions, and in one with a pure epidural lesion. Subtotal excision of another one epidural and three vertebral cavernous angiomas was followed by radiotherapy. There was no morbidity related to surgery; the mean follow-up was 2 years. The outcome was excellent in two cases, good in six, and unchanged in the other three. The authors discuss the different modalities of treatment of these vascular lesions variously placed along the spine.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cavernous angiomas of the spinal district: surgical treatment of 11 patients

et al. 1997

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“…Symptomatic hemangiomas require adequate treatment, such as radiation, embolization, vertebroplasty, or surgical resection. 7) Laminectomy or anterior corpectomy with a strut graft is often recommended, particularly for vertebral hemangiomas with extraosseous extension into the vertebral canal. 2) Adequate decompression and vertebral stability during such open surgery are indispensable for neurological improvement.…”

Section: Introductionmentioning

confidence: 99%

Symptomatic T2 Vertebral Hemangioma in a Pregnant Woman Treated by One Stage Combination Surgery; Posterior Stabilization and Anterior Subtotal Tumor Resection -Case Report-

Shinozaki

Morita

Kamijo

et al. 2010

Neurol. Med. Chir.(Tokyo)

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A 27-year-old woman presented with vertebral hemangioma manifesting as sudden onset of paraplegia, and bladder and bowel dysfunction during pregnancy. Magnetic resonance imaging revealed a mass lesion that had infiltrated into the entire T2 vertebral body and expanded to the vertebral canal. Laminectomy from T1 to T3 and biopsy of the lesion were performed. Biopsy confirmed the diagnosis of vertebral hemangioma, but laminectomy resulted in no neurological changes. The patient was transferred to our hospital, where radical treatment comprising embolization of the feeding arteries, posterior stabilization of the vertebrae, and anterior excision of the tumor was performed. Symptoms resolved gradually but steadily, and she made a full recovery by 18 months postoperatively. Radical operation might be extremely effective for extradural vertebral hemangioma, even in the delayed phase or in the presence of severe neurological deficit.

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“…In radiologic evaluation of vertebral hemangiomas, Laredo et al [5] described six features which were seen significantly more often in symptomatic vertebral hemangioma: location between D3 and D9, involvement of the entire vertebral body, extension to the neural arch, an expanded cortex with indistinct margins, an irregular honeycomb pattern, and soft tissue mass. They also suggested that fatty vertebral hemangioma may represent inactive form while soft tissue content at CT and low signal at MRI may indicate a more active vascular lesion with potential to compress the spinal cord.…”

Section: Discussionmentioning

confidence: 99%

Atypical Presentation of Aggressive Vertebral Hemangioma with Spinal Cord Compression

Sharma¹,

Banode²

2015

Int Jour of Biomed Res

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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.

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Vertebral hemangiomas: radiologic evaluation.

Cited by 233 publications

References 0 publications

Cavernous angiomas of the spinal district: surgical treatment of 11 patients

Cavernous angiomas of the spinal district: surgical treatment of 11 patients

Symptomatic T2 Vertebral Hemangioma in a Pregnant Woman Treated by One Stage Combination Surgery; Posterior Stabilization and Anterior Subtotal Tumor Resection -Case Report-

Atypical Presentation of Aggressive Vertebral Hemangioma with Spinal Cord Compression

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