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Acute spinal cord compression caused by vertebral hemangioma
Cary R Templin1, Jeffrey B Stambough, Jeffery L Stambough
1Department of Orthopaedic Surgery, Northwestern University Medical School, 645 N. Michigan Ave., Chicago, IL 60611, USA.
The Spine Journal : Official Journal of the North American Spine Society
|September 15, 2004
Summary
Symptomatic vertebral hemangiomas can cause rapid neurological decline. Prompt surgical decompression and stabilization effectively reversed myelopathic symptoms in a patient with a T10 vertebral hemangioma.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Vertebral hemangiomas are common incidental findings, rarely causing neurological symptoms.
- Symptomatic cases typically present with subacute progressive neurological deficits.
Observation:
- A 61-year-old woman presented with acute myelopathic symptoms due to a vertebral hemangioma.
- This case highlights a rare rapid-onset presentation mimicking malignancy.
Findings:
- Radiographic imaging is crucial for diagnosing vertebral hemangioma.
- Surgical decompression and stabilization, potentially combined with embolization and radiotherapy, are key management strategies.
Implications:
- Emergent surgical decompression can rapidly reverse neurological deficits.
- Vertebral hemangioma, even with rapid onset, is treatable with surgical intervention.