Percutaneous technique for sclerotherapy of vertebral hemangioma compressing spinal cord.
OBJECTIVE
In this study we report a percutaneous technique to achieve sclerosis of vertebral hemangioma and decompression of the spinal cord and nerve roots.


METHODS
Under CT guidance the affected vertebral body is punctured by a biopsy needle and sclerosant is injected directly into the tumor. In the case of large paravertebral extension, additional injection is given in the paravertebral soft tissue component to induce shrinkage of the whole tumor mass and release of the compressed spinal cord.


RESULTS
Using this technique we treated five patients in whom vertebral hemangioma gave rise to neurologic symptoms. In three patients, sclerotherapy was the only treatment given. In the other two patients, sclerotherapy was preceded by transcatheter embolization. Neither decompressive surgery, radiation therapy nor stabilization was required with this technique.


CONCLUSIONS
Our experience with CT-guided intraosseous sclerotherapy has proved highly satisfactory.
Gabal
Abdelwahab M
AM
Al-Azhar University Medical Center, Sayed Galal Hospital, Port Saeed Str. 540, Cairo 11563, Egypt. Gabalrad@yahoo.com
D000328:Adult; D004621:Embolization, Therapeutic; D005260:Female; D006391:Hemangioma / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D015552:Injections, Intralesional; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D009829:Oleic Acids / Q000008:administration & dosage; D015641:Radiography, Interventional; D012597:Sclerosing Solutions / Q000008:administration & dosage; D015911:Sclerotherapy / Q000379:methods*; D013117:Spinal Cord Compression / Q000000981:diagnostic imaging / Q000209:etiology*; D013125:Spinal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D013904:Thoracic Vertebrae; D014057:Tomography, X-Ray Computed
D009829:Oleic Acids; D012597:Sclerosing Solutions; C033343:ethanolamine oleate