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Symptomatic vertebral hemangioma: atypical spoke-wheel trabeculation pattern
K Yamada1, M G Whitbeck, Y Numaguchi
1Department of Diagnostic Radiology, University of Rochester Medical Center, New York 14642-8648, USA.
Radiation Medicine
|July 1, 1997
Summary
A vertebral hemangioma caused sudden leg symptoms in a 49-year-old woman. Imaging revealed a unique spoke-wheel pattern, necessitating the exclusion of cancer due to full vertebral body involvement.
Area of Science:
- Neurology
- Radiology
- Oncology
Background:
- Vertebral hemangiomas are benign vascular tumors that can rarely cause symptoms.
- Symptomatic presentation often requires differentiation from malignant lesions.
Observation:
- A 49-year-old female presented with acute onset left lower extremity symptoms.
- Magnetic resonance (MR) and computed tomography (CT) imaging demonstrated an unusual spoke-wheel trabeculation pattern within the vertebral body.
Findings:
- The vertebral hemangioma involved the entire vertebral body.
- The characteristic imaging findings were crucial for diagnosis.
Implications:
- This case highlights the importance of recognizing rare presentations of vertebral hemangiomas.
- Accurate radiological diagnosis is essential to rule out malignancy and guide appropriate management.