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Aggressive Diffuse Intraosseous Hemangioma: Case Report.

Monique Alves1, Marcus Sofia Ziegler1, Fernando Augusto Dannebrock1

  • 1Médico ortopedista, Serviço de Ortopedia e Traumatologia, Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brasil.

Revista Brasileira De Ortopedia
|December 11, 2023
PubMed
Summary

This case study highlights an aggressive, multifocal vertebral hemangioma presenting with spinal compression and neurological deficits. Such extensive intraosseous hemangioma presentations are exceptionally rare.

Keywords:
bone diseasesdrug therapyhemangiomaspinal diseases

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Area of Science:

  • Orthopedics
  • Neurosurgery
  • Oncology

Background:

  • Vertebral hemangiomas are common benign vascular tumors, typically asymptomatic and found incidentally.
  • Symptomatic presentations often involve back pain, with rare instances of spinal or root compression causing neurological deficits.

Purpose of the Study:

  • To report a rare case of aggressive, multifocal intraosseous hemangioma.
  • To describe the clinical presentation, diagnostic challenges, and management of extensive, symptomatic hemangiomas.

Main Methods:

  • Case report of a 33-year-old male with multifocal intraosseous hemangiomas.
  • Review of medical literature for similar presentations of aggressive, multifocal hemangiomas.

Main Results:

  • The patient presented with symptomatic lesions across the axial and appendicular skeleton, including the thoracic spine, sternum, scapula, and ribs.
  • A thoracic spine lesion progressed to cause spinal compression and an acute neurological deficit, necessitating urgent surgical intervention.
  • Literature review revealed no comparable cases of aggressive multifocal intraosseous hemangioma with associated neurological compromise.

Conclusions:

  • Aggressive, multifocal intraosseous hemangiomas, though rare, can present with significant morbidity, including neurological deficits.
  • Multifocal intraosseous hemangiomas require careful monitoring and prompt surgical intervention when symptomatic or causing neurological compromise.