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Assessment of Maternal Vascular Remodeling During Pregnancy in the Mouse Uterus
Published on: December 5, 2015
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Symptomatic vertebral hemangiomas during pregnancy.
Alexis Moles1, Olivier Hamel, Christophe Perret
1Department of Neurosurgery and Neurotraumatology.
Journal of Neurosurgery. Spine
|March 11, 2014
Summary
Symptomatic vertebral hemangiomas are rare during pregnancy, potentially causing emergencies like spinal cord compression. Management requires a multidisciplinary approach considering maternal and fetal status.
Area of Science:
- Neurology
- Obstetrics
- Radiology
Background:
- Symptomatic vertebral hemangiomas are rare during pregnancy, with only 27 reported cases since 1948.
- Pregnancy can exacerbate vertebral hemangioma growth, leading to complications such as spinal cord compression or fracture.
Observation:
- Two cases of symptomatic vertebral hemangiomas during pregnancy are presented.
- One case involved paraparesis due to T-3 vertebral hemangioma with epidural extension, managed with laminectomy and vertebroplasty post-cesarean section.
- The second case presented with spontaneous T-7 vertebral hemangioma fracture at 36 weeks gestation, treated with postpartum fusion for pain and instability.
Findings:
- Pregnancy can precipitate vertebral hemangioma complications, including rare spontaneous fractures.
- Surgical intervention (laminectomy, vertebroplasty, fusion) can be effective in managing symptomatic vertebral hemangiomas during pregnancy.
- Postpartum follow-up showed no complications or hemangioma progression in the reported cases.
Implications:
- Management of symptomatic vertebral hemangiomas in pregnancy is challenging and requires a multidisciplinary team approach.
- Treatment decisions must balance maternal neurological status, gestational age, and fetal well-being.
- These rare cases highlight the need for vigilance and tailored management strategies for vertebral hemangiomas during pregnancy.
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