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Updated: Jun 13, 2026
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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
A minimally invasive vertebral hemangioma
S Van den Broeck1, P Mailleux, J P Joris
1Department of Medical Imaging, Clinique Saint Luc, Rue Saint Luc 8, 5004 Bouge, Belgium. stephane.vandenbroeck@gmail.com
Summary
This study details an unusual vertebral hemangioma with mixed aggressive and quiescent features. Accurate CT/MR imaging can prevent misdiagnosis and unnecessary treatment for vertebral hemangiomas.
Area of Science:
- Radiology
- Oncology
- Neurosurgery
Background:
- Vertebral hemangiomas are benign vascular tumors typically presenting with characteristic imaging findings.
- Differentiating between benign and aggressive lesions is crucial for appropriate patient management.
Observation:
- A rare case of vertebral hemangioma exhibited an unusual combination of aggressive features (epidural extension, T1 hyposignal) and quiescent characteristics (fatty infiltration).
- A spiculated calcified epidural component was also noted, adding to the lesion's atypical presentation.
Findings:
- Computed Tomography (CT) and Magnetic Resonance (MR) imaging findings were sufficient for accurate assessment of this complex vertebral hemangioma.
- The case highlights a rarely described feature of vertebral hemangiomas, typically observed only in skull hemangiomas, suggesting potential similarities across different anatomical locations.
Implications:
- Accurate radiological assessment of vertebral hemangiomas can prevent patient anxiety and avoid unnecessary interventions.
- This case expands the understanding of vertebral hemangioma imaging characteristics, potentially improving diagnostic accuracy for similar atypical presentations.