Aggressive vertebral hemangioma as a rare cause of myelopathy

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. Dif...

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Bibliographic Details
Published in:Journal of back and musculoskeletal rehabilitation 2014-01, Vol.27 (2), p.125-129
Main Authors: Sari, Hidayet, Uludag, Murat, Akarirmak, Ulku, Ornek, Nurettin Irem, Gun, Kerem, Gulsen, Fatih
Format: Article
Language:English
Subjects:
Adult
Embolization, Therapeutic
Hemangioma - complications
Hemangioma - rehabilitation
Hemangioma - therapy
Humans
Magnetic Resonance Imaging
Male
Spinal Cord Compression - etiology
Spinal Cord Compression - surgery
Spinal Cord Compression - therapy
Thoracic Vertebrae - pathology
Thoracic Vertebrae - surgery
Treatment Outcome
Vascular Neoplasms - complications
Vascular Neoplasms - rehabilitation
Vascular Neoplasms - therapy
Vertebrobasilar Insufficiency - etiology
Vertebrobasilar Insufficiency - rehabilitation
Vertebrobasilar Insufficiency - therapy
Vertebroplasty
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Summary: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.
ISSN:1053-8127
1878-6324
DOI:10.3233/BMR-130425