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Related Experiment Video

Updated: Aug 20, 2025

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Aggressive vertebral hemangiomas in children.

Arunkumar Sekar1, Debajyoti Datta2, Parameshwar2

  • 1Department of Neurosurgery, All India Institute of Medical Sciences - Bhubaneswar, Bhubaneswar, Odisha, 751019, India. arunkumar3002@hotmail.com.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|November 23, 2022
PubMed
Summary

Aggressive vertebral hemangiomas in children, though rare and challenging to treat, typically present in the thoracic spine and lead to neurological deficits. Surgical intervention offers a good prognosis, with most patients experiencing symptom improvement.

Keywords:
Compressive myelopathyPediatricVertebral hemangioma

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Area of Science:

  • Pediatric Oncology
  • Neurosurgery
  • Radiology

Background:

  • Aggressive vertebral hemangiomas are rare pediatric tumors, predominantly affecting the thoracic spine.
  • These lesions pose significant surgical challenges due to potential blood loss and risk of neurological morbidity.

Observation:

  • A case of aggressive vertebral hemangioma in a child was managed, prompting a literature review.
  • The review encompassed clinical presentation, diagnostic approaches, and treatment strategies for pediatric aggressive vertebral hemangiomas.

Findings:

  • Twenty-three pediatric cases of aggressive vertebral hemangiomas were identified in the literature.
  • Neurological deficit was the most frequent presentation, with the thoracic spine being the most common site.
  • Surgery was the primary treatment modality, and all reported patients showed symptom improvement post-treatment.

Implications:

  • Despite technical difficulties, aggressive vertebral hemangiomas in children demonstrate favorable outcomes with appropriate treatment.
  • Treatment plans must be individualized for each patient.
  • Further research is necessary to establish optimal treatment guidelines for these rare tumors.