Ramos CAA, Durán RJGA, Méndez LMF, Jiménez ÁJM

Language: Spanish
References: 14
Page: 96-99
PDF size: 142.02 Kb.

ABSTRACT

Introduction: hemangiomas were originally described by Virchow in 1867. Although they are considered benign tumors of vascular origin, they sometimes tend to have an aggressive behavior. Material and methods: a search was carried out in six different databases with the keywords, articles related to the aggressive behavior of a vertebral hemangioma between 1999 and 2022 were searched, 14 articles were included. Conclusions: historically, vertebral hemangioma has been considered a benign pathology. The literature has recently shown that vertebral hemangiomas can, however, have a regional behavior considered as "aggressive". Both the stability of the spine and the degree of neurological deficit that the patient presents should be evaluated, and treatment should be guided based on these parameters. Despite being a pathology considered as benign, it has been shown that vertebral hemangiomas can present in a locally aggressive manner, which is why they require regular radiological and clinical surveillance.

REFERENCES

1. Evangelopoulos DS, Kontovazenitis P, Kokkinis K, Glynos M, Korres DS, Sapkas G. Cement leakage in a symptomatic vertebral hemangioma: a case report and review of the literature. Cases J. 2009; 2: 7148.

2. Bárbara PJ, Tarazona VP, Zambito BG. Hemangioma vertebral sintomático. Anales Médicos. 1999; 3: 138-140.

3. Mareque RF, Sánchez BC, Rodríguez IM. Hemangioma vertebral. Sociedad Española de Medicina General. 2011; 135: 15-16.

4. Zhang HL, Hu YC, Aryal R, He X, Lun DX, Zhao LM. Thoracic vertebral hemangioma with spinal cord compression: multidisciplinary surgical treatment and follow-up of six patients. Orthop Surg. 2016; 8: 462-467.

5. Jiménez-Ávila J, Ibarra-Elizalde V, González-Cisneros A. Hemangioma vertebral cervical con comportamiento agresivo. Acta Ortop Mex. 2021; 35: 206-210.

6. Kim CH, Kim SW. Rapidly Progressive atypical vertebral hemangioma: a case report. Korean J Neurotrauma. 2020; 16: 320-325.

7. Pereira DM, Camino WG, Kido G, et al. Paraparesia aguda por hemangioma vertebral agresivo. Reporte de dos casos y revisión bibliográfica. Revista de la Asociación Argentina de Ortopedia y Traumatología. 2021; 86: 398-406.

8. Staikou C, Stamelos M, Boutas I, Koutoulidis V. Undiagnosed vertebral hemangioma causing a lumbar compression fracture and epidural hematoma in a parturient undergoing vaginal delivery under epidural analgesia: a case report. Can J Anaesth. 2015; 62: 901-906.

9. Fleites E, Rodriguez G, Millares W, Pentón O. Hemangioma vertebral lumbar con comportamiento agresivo. Revista Cubana de Neurología y Neurocirugía. 2022; 12: e542.

10. Nabavizadeh S, Mamourian A, Schmitt J, et al. Utility of fat-suppressed sequences in differentiation of Aggressive vs typical asymptomatic haemangioma of the spine. Br J Radiol. 2016; 89: 20150557.

11. Zafeiris C, Lewkonia P, Jacobs W. Atypical vertebral hemangioma: an aggressive form of a benign disease. Case report and literature review. J Musculoeskeletal Neuronal Interact. 2021; 21: 317-321.

12. Haribabu M, Moirangthem V, Venkatesan M. Management of aggressive vertebral haemangioma and assessment of differentiating pointers between aggressive vertebral haemangioma and metastases – a systematic review. Global Spine Journal. 2022; 13: 1120-1133.

13. Prabhuraj A, Mishra A, Mishra R, Pruthi N, et al. Per-operative glue embolization with surgical decompression: a multimodality treatment for aggressive vertebral haemangioma. Interv Neuroradiol. 2019; 25: 570-578.

14. Wang B, Meng N, Zhuang H, Han S, et al. The Role of radiotherapy and surgery in the management of aggressive vertebral hemangioma: a retrospective study of 20 patients. Med Sci Monit. 2018; 24: 6840-6850.