2013, Number 4
<< Back Next >>
Anales de Radiología México 2013; 12 (4)
Aggressive vertebral hemangioma in dorsal spine. Presentation of two cases and review of the literature
Pozzo-Salvatierra BL, Saravia-Rivera G
Language: Spanish
References: 11
Page: 248-254
PDF size: 321.21 Kb.
ABSTRACT
Introduction. Vertebral hemangiomas are a common incidental
finding in asymptomatic patients; however, there is a rare variety
which may have aggressive behavior with extraosseous extension,
conditioning devastating neurological sequelae.
Presentation of cases. Two young male patients, ages 28 and
33 years, with history of chronic dorsal pain and progressive
paraplegia, one of whom presented an expansive lithic tumor in
the vertebral body of T4 with extensions to the rachidian canal
and the spinal cord; the second presented an extensive tumor
in vertebral bodies T4 to T7, with extensions to posterior mediastinum,
rachidian canal, and thoracic wall, with erosion and
lysis of some costal margins. The diagnoses of aggressive hemangioma
were confirmed by pathology: one of them after decompressive
surgery and the other by biopsy.
Discussion. Sectional imaging methods are highly useful in detecting
aggressive hemangiomas and should be considered for
differential diagnosis in patients with myelopathic symptoms
and with destructive lesions in the spinal column.
REFERENCES
Laredo JD, Reizine D, Bard M, Merland JJ. Vertebral hemangiomas: radiologic evaluation. Radiology 1986;161:183- 189.
Urrutia J, Postigo R, Larrondo R, Martin AS. Clinical and imaging findings in patients with aggressive spinal hemangioma requiring surgical treatment. J Clin Neurosci 2011;18:209-12.
Dickerman RD, Bennett MT. Acute spinal cord compression caused by vertebral hemangioma. Spine J 2005;5:582-584.
Nguyen JP., Djindjian M, Badiane S. Vertebral hemangioma with neurologic signs. Clinical presentation, results of a survey by the French Society of Neurosurgery. Neurochirurgie 1989;35(5):270-4,305-8.
Fox WM, Onofrio BM. The natural history and management of symptomatic and asymptomatic vertebral hemangiomas. J Neurosurg 1993;78:36-45.
Doppman JL, Oldfield EH, Heiss JD. Symptomatic vertebral hemangiomas: treatment by means of direct intralesional injection of ethanol. Radiology 2000;214:341-348.
Grossman RI, Yousem DY. Nondegenerative diseases of the spine in: Neuroradiology, Philadelphia; Mosby 2003;827- 828.
Cross JJ, Antoun NM, Laing RJ, Xuereb J. Imaging of compressive vertebral haemangiomas. Eur Radiol 2000;10:997- 1002.
Smith SE, Murphey MD, Motamedi K, et al. From the Archives of the AFIP: Radiologic Spectrum of Paget Disease of Bone and Its Complications with Pathologic Correlation. Radiographics 2002;22:1191-1216.
Dähnert, W. Radiology Review Manual. Lippincott Williams & Wilkins 2003;97-98,184.
Guarnieri G, Ambrosanio G, Vassallo P. Vertebroplasty as treatment of aggressive and symptomatic vertebral hemangiomas: up to 4 years of follow up. Neuroradiology 2009;51:471-476.