Martin William, Rajmohan Ravi, Belirgen Muhittin
Department of Pediatrics, Division of Pediatric Neurosurgery, School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Department of Pharmacology and Neuroscience, School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
J Neurosci Rural Pract. 2017 Jul-Sep;8(3):458-460. doi: 10.4103/jnrp.jnrp_324_16.
Vertebral hemangiomas (VHs) are the most common benign vertebral neoplasm and typically are asymptomatic, only to be discovered incidentally on imaging from the fourth to fifth decade of life. Seldom do they enlarge to a point of compression, causing pain and focal neurologic deficits. We present the rare case of an 8-year-old female who presented with paraparesis after a fall. Imaging revealed a pathological fracture of the T8 vertebra with retropulsion and spinal cord compression from both fracture and epidural tumor tissue. The patient underwent an anterior and posterior removal of the tumor, decompression, and fusion. Pathological report of specimen biopsy confirmed a benign hemangioma. To the best of our knowledge, this is the same age as the youngest previously reported case of symptomatic VH and it is the longest to be recurrence-free at follow-up. The hemangioma was successfully treated with tumor removal, decompression, and fusion. No adjuvant treatment was required, and she remained asymptomatic without recurrence at her 4-year follow-up.
椎体血管瘤（VHs）是最常见的良性椎体肿瘤，通常无症状，多在40至50岁时影像学检查偶然发现。它们很少会增大到引起压迫的程度，导致疼痛和局灶性神经功能缺损。我们报告了一例罕见的8岁女性病例，该患者跌倒后出现双下肢轻瘫。影像学检查显示T8椎体病理性骨折，伴有骨折块后凸及硬膜外肿瘤组织导致的脊髓受压。患者接受了前后路肿瘤切除、减压及融合手术。标本活检的病理报告证实为良性血管瘤。据我们所知，这是与之前报道的最年轻的有症状椎体血管瘤患者年龄相同的病例，也是随访中无复发时间最长的病例。该血管瘤通过肿瘤切除、减压及融合手术成功治愈。无需辅助治疗，在4年的随访中她一直无症状且未复发。
