title: Percutaneous ethanol embolization and cement augmentation of aggressive vertebral hemangiomas at two adjacent vertebral levels.
abstract: This report describes a case of successful percutaneous direct-puncture ethanol embolization, followed by vertebroplasty, of an aggressive vertebral hemangioma (VH) involving two adjacent thoracic vertebral levels. In this case, the 78-year-old male patient presented with a 6-month history of progressive paraparesis due to spinal cord compression by a T8-T9 VH with an extensive epidural component. Follow-up demonstrated epidural component shrinkage with complete regression of symptoms at 3 months. This case suggests that exclusive percutaneous treatment may be considered for symptomatic VH even when two adjacent vertebral levels are affected.
authors: Department of Neuroradiology, Medical University of South Carolina, 169, Ashley Avenue, Charleston, SC 29425, USA; Department of Neuroradiology, Neurocenter of Italian Switzerland, Lugano, Switzerland. Electronic address: cianfoni@musc.edu.
authors: Alessandro
authors: A
authors: Cianfoni
authors: Department of Neuroradiology, Medical University of South Carolina, 169, Ashley Avenue, Charleston, SC 29425, USA. Electronic address: massarimd@gmail.com.
authors: Francesco
authors: F
authors: Massari
authors: Department of Neuroradiology, Medical University of South Carolina, 169, Ashley Avenue, Charleston, SC 29425, USA. Electronic address: gdani@gmail.com.
authors: Genta
authors: G
authors: Dani
authors: Department of Neurological Surgery, Medical University of South Carolina, 169, Ashley Avenue, Charleston, SC 29425, USA. Electronic address: jrlena@gmail.com.
authors: Jonathan R
authors: JR
authors: Lena
authors: Department of Neuroradiology, Medical University of South Carolina, 169, Ashley Avenue, Charleston, SC 29425, USA. Electronic address: rumbolz@musc.edu.
authors: Zoran
authors: Z
authors: Rumboldt
authors: Department of Neurological Surgery, Medical University of South Carolina, 169, Ashley Avenue, Charleston, SC 29425, USA. Electronic address: wavandergrift@gmail.com.
authors: William A
authors: WA
authors: Vandergrift
authors: Neuroradiology Unit, Ospedali Riuniti di Bergamo, Bergamo, Italy. Electronic address: mail@bonaldi.org.
authors: Giuseppe
authors: G
authors: Bonaldi
mesh_terms: D000368:Aged; D001843:Bone Cements / Q000627:therapeutic use*; D003131:Combined Modality Therapy / Q000379:methods; D004621:Embolization, Therapeutic / Q000379:methods*; D000431:Ethanol / Q000627:therapeutic use*; D006391:Hemangioma / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D013125:Spinal Neoplasms / Q000175:diagnosis / Q000628:therapy*; D013904:Thoracic Vertebrae; D016896:Treatment Outcome; D054854:Vertebroplasty / Q000379:methods*
chemical_list: D001843:Bone Cements; D000431:Ethanol
keywords: Ethanol embolization; Spine; Vertebral hemangiomas; Vertebroplasty