Brown-Sequard syndrome after management of vertebral hemangioma with intralesional alcohol. A case report.
METHODS
This report describes Brown-Sequard syndrome after intralesional injection of absolute alcohol into vertebral hemangioma.


OBJECTIVE
To discuss whether the described technique is safe in the management of vertebral hemangiomas.


BACKGROUND
The management of vertebral hemangiomas remains controversial. There have been reports of successful management using intralesional absolute alcohol.


METHODS
The clinical and radiologic features of the reported complication are detailed.


RESULTS
Intralesional injection of absolute alcohol caused Brown-Sequard syndrome.


CONCLUSIONS
This case shows that intralesional alcohol injection cannot be considered a safe technique for management of vertebral hemangiomas with spinal cord compression.
Niemeyer
T
T
Centre for Spinal Studies and Surgery, Queens Medical Centre, University Hospital Nottingham, UK. niemey@uni-muenster.de
McClellan
J
J
Webb
J
J
Jaspan
T
T
Ramli
N
N
D000328:Adult; D018437:Brown-Sequard Syndrome / Q000139:chemically induced* / Q000175:diagnosis; D000431:Ethanol / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D006391:Hemangioma / Q000188:drug therapy* / Q000473:pathology; D006801:Humans; D015552:Injections, Intralesional; D008279:Magnetic Resonance Imaging; D008297:Male; D013117:Spinal Cord Compression / Q000209:etiology / Q000473:pathology / Q000628:therapy; D013125:Spinal Neoplasms / Q000188:drug therapy* / Q000473:pathology; D013904:Thoracic Vertebrae / Q000473:pathology; D016896:Treatment Outcome
D000431:Ethanol