Méndez José A, Hochmuth Albrecht, Boetefuer Ingolf C, Schumacher Martin
Department of Neuroradiology, University of Freiburg, Germany. Institute of Neuropathology, University of Freiburg, Germany.
AJNR Am J Neuroradiol. 2002 Nov-Dec;23(10):1665-8.
A 41-year-old patient with a history of low back pain underwent conventional radiography, CT, digital subtraction angiography (DSA), and MR imaging. An inhomogeneous sclerotic-lytic lumbar vertebra with slightly thickened spongiotic structure and intense contrast enhancement were compatible with an L4 vertebral hemangioma. Embolization and posterior surgical osseous decompression was performed. Histologic analysis of osseous parts revealed a vertebral lymphangioma instead of a hemangioma.
一名有腰痛病史的41岁患者接受了传统X线摄影、CT、数字减影血管造影(DSA)和磁共振成像检查。一个不均匀的硬化-溶解型腰椎椎体,伴有轻度增厚的海绵状结构和强烈的对比增强,符合L4椎体血管瘤表现。遂进行了栓塞和后路手术减压。对骨组织进行组织学分析显示为椎体淋巴管瘤而非血管瘤。