Acute spinal cord compression due to intraspinal bleeding from a vertebral hemangioma: two case-reports.
Vertebral hemangiomas can cause acute spinal cord compression either after a minor trauma or during the last 3 months of pregnancy. Failure to recognize the lesion can lead to potentially serious treatment delays. An emergency MRI scan usually establishes the diagnosis of vertebral hemangioma responsible for spinal cord compression requiring laminectomy. We report two cases showing that posterior fixation should be considered: in our experience it prevents vertebral collapse during the interval preceding secondary vertebroplasty, which, if performed, provides highly significant pain relief.
Department of Orthopedic and Trauma Surgery, CHU Pitié Salpétriere. Paris, France.
E
E
Castel
J Y
JY
Lazennec
J
J
Chiras
E
E
Enkaoua
G
G
Saillant
D000208:Acute Disease; D000328:Adult; D005260:Female; D006391:Hemangioma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D010264:Paraplegia / Q000209:etiology; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis / Q000601:surgery; D013117:Spinal Cord Compression / Q000209:etiology*; D013122:Spinal Diseases / Q000209:etiology; D013125:Spinal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013904:Thoracic Vertebrae