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Rare case of multiple aggressive vertebral hemangiomas
Parag Suresh Mahajan1, Abhilash Pulincherry Jayaram1, Vidya Chander Negi1
1Department of Clinical Imaging, Al-Khor Hospital, Hamad Medical Corporation, Doha, Qatar.
Journal of Natural Science, Biology, and Medicine
|August 19, 2015
Summary
This case study details aggressive vertebral hemangiomas in a 42-year-old man, identified via MRI and CT scans. Follow-up imaging confirmed the diagnosis of multiple aggressive lesions in the T12 and L5 vertebrae.
Area of Science:
- Orthopedic Surgery
- Radiology
- Oncology
Background:
- Vertebral hemangiomas are benign vascular tumors, but aggressive variants can cause significant symptoms.
- Spinal tumors require accurate diagnosis and monitoring for appropriate management.
Observation:
- A 42-year-old male presented with back pain and left radiculopathy.
- Imaging revealed an infiltrative mass involving the T12 and L5 vertebrae.
Findings:
- Magnetic resonance imaging (MRI) and computed tomography (CT) indicated aggressive hemangiomas in the T12 and L5 vertebrae.
- Three-year follow-up imaging showed minimal increase in the L5 lesion's aggressiveness, with the T12 lesion remaining stable.
- These findings confirmed the diagnosis of multiple aggressive vertebral hemangiomas.
Implications:
- Aggressive vertebral hemangiomas, though rare, necessitate careful radiological monitoring.
- This case highlights the importance of advanced imaging in diagnosing and managing spinal vascular lesions.
- Understanding the behavior of aggressive hemangiomas aids in predicting patient outcomes and treatment strategies.

