Aggressive vertebral hemangioma as a rare cause of myelopathy.
Vertebral hemangiomas (VHs) are common lesions in the adult population. They are usually asymptomatic and found incidentally on radiological imaging. New-onset back pain followed by subacute progression of thoracal myelopathy is the most common presentation in patients with neurological deficit. Differential diagnoses would include metastasis, multiple myeloma, lymphoma, Paget disease, osseous tumors such as Ewing sarcoma or hemangioblastoma and blood dyscrasia. We present a 41 year-old-male patient with thoracal VH causing myelopathy that completely improved after rehabilitation program with embolization and vertebroplasty procedures.
Department of Physical Medicine and Rehabilitation, Medical Faculty, Istanbul University Cerrahpaşa, Istanbul, Turkey.
Hidayet
H
Sari
Department of Physical Medicine and Rehabilitation, Medical Faculty, Istanbul University Cerrahpaşa, Istanbul, Turkey.
Murat
M
Uludag
Department of Physical Medicine and Rehabilitation, Medical Faculty, Istanbul University Cerrahpaşa, Istanbul, Turkey.
Ulku
U
Akarirmak
Department of Physical Medicine and Rehabilitation, Medical Faculty, Istanbul University Cerrahpaşa, Istanbul, Turkey.
Nurettin Irem
NI
Ornek
Department of Physical Medicine and Rehabilitation, Medical Faculty, Istanbul University Cerrahpaşa, Istanbul, Turkey.
Kerem
K
Gun
Department of Interventional Radiology, Medical Faculty, Istanbul University Cerrahpaşa, Istanbul, Turkey.
Fatih
F
Gulsen
D000328:Adult; D004621:Embolization, Therapeutic; D006391:Hemangioma / Q000150:complications* / Q000534:rehabilitation / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013117:Spinal Cord Compression / Q000209:etiology* / Q000601:surgery / Q000628:therapy; D013904:Thoracic Vertebrae / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D019043:Vascular Neoplasms / Q000150:complications* / Q000534:rehabilitation / Q000628:therapy; D014715:Vertebrobasilar Insufficiency / Q000209:etiology* / Q000534:rehabilitation / Q000628:therapy; D054854:Vertebroplasty
Aggressive hemangioma; embolization; myelopathy; thoracal vertebra; vertebroplasty