Symptomatic vertebral hemangioma in pregnancy treated antepartum. A case report with review of literature.
Pregnancy related compressive myelopathy secondary to vertebral hemangioma is a rare occurrence and its treatment antepartum is rare. We report a 22-year-old lady in her 26th-week of pregnancy who was treated in two stages--antepartum with a laminectomy and posterior stabilization. This resulted in complete recovery of the neurological deficits. She delivered a normal baby after 3 months, following which a corpectomy and fusion was performed. This two-staged approach appears safe and effective in treating symptomatic vertebral haemangiomas causing neurological deficits during pregnancy. A review of relevant literature has been done.
Vijay
Kamath
K
Department of Orthopaedics and Spine Surgery, Ganga Hospital, 313, Mettupalayam Road, Coimbatore, Tamil Nadu, 641 011, India.
Shetty
Ajoy P
AP
Rajasekaran
S
S
D001863:Bone Screws; D019299:Decompression, Surgical / Q000295:instrumentation / Q000379:methods / Q000592:standards; D004824:Epidural Space / Q000473:pathology / Q000601:surgery; D005260:Female; D006391:Hemangioma / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D006801:Humans; D016268:Internal Fixators; D007796:Laminectomy / Q000379:methods / Q000592:standards; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods / Q000592:standards; D013115:Spinal Canal / Q000473:pathology / Q000601:surgery; D013116:Spinal Cord / Q000473:pathology / Q000503:physiopathology; D013117:Spinal Cord Compression / Q000209:etiology* / Q000473:pathology* / Q000601:surgery; D013123:Spinal Fusion / Q000295:instrumentation / Q000379:methods / Q000592:standards; D013125:Spinal Neoplasms / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D013131:Spine / Q000098:blood supply / Q000473:pathology / Q000601:surgery; D013904:Thoracic Vertebrae / Q000098:blood supply / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult