Acute spinal cord compression caused by vertebral hemangioma

The Spine Journal : Official Journal of the North American Spine Society
Cary R TemplinJeffery L Stambough

Abstract

The reported incidence of vertebral hemangioma within the spinal column is common. Most often these benign vascular tumors are incidental radiographic findings and do not cause neurological sequelae. Rarely, vertebral hemangiomas will cause compressive neurological symptoms, such as radiculopathy, myelopathy and paralysis. In these cases the clinical presentation is usually the subacute or delayed onset of progressive neurological symptoms. This report demonstrates a symptomatic vertebral hemangioma presenting with rapid onset neurologic sequelae. To discuss diagnostic and management issues presented by symptomatic vertebral hemangioma. Case report and review of literature. Sixty-one-year-old white woman with low back pain and rapidly progressive myelopathic symptoms. A case of vertebral hemangioma with neurological sequelae is presented followed by a discussion of the literature concerning diagnostic and therapeutic options in the management of this pathologic entity. The results of our review reveal that the incidence of vertebral hemangioma causing compressive neurological symptoms is rare despite the overall prevalence of vertebral hemangioma. Vertebral hemangioma may present with rapid onset myelopathic symptoms and may mi...Continue Reading

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