Sahajwalla Divya, Vorona Gregory, Tye Gary, Harper Amy, Richard Hope, Sisler India, Ellett Michele, Cameron Brian, Rivet Dennis, Urbine Jacqueline
Virginia Commonwealth University School of Medicine Inova Campus, 8110 Gatehouse Rd., Falls Church, VA 22042 USA.
The Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, VA, USA.
Radiol Case Rep. 2021 Mar 1;16(5):1107-1112. doi: 10.1016/j.radcr.2021.02.023. eCollection 2021 May.
Aggressive hemangioma is a rare vertebral lesion in pediatric patients which can present with deteriorating neurological function. It can mimic malignancy on imaging, particularly as it regularly has an extrasosseous soft tissue component. We present a case of a 13-year-old male who presented with a three month history of lower extremity weakness that was found to have an infiltrative mass at T10 with associated cord compression from epidural extension of the lesion. In this report we review the characteristic imaging findings associated with aggressive hemangioma, including its appearance on read-out segmented diffusion-weighted images. It is imperative that radiologists who interpret studies of children be aware that this lesion exists and what it looks like, as it can be associated with massive hemorrhage if encountered unexpectedly during surgery.
侵袭性血管瘤是儿科患者中一种罕见的椎体病变，可导致神经功能恶化。它在影像学上可类似恶性肿瘤，特别是因为它通常有骨外软组织成分。我们报告一例13岁男性患者，有3个月下肢无力病史，发现T10处有一浸润性肿块，并伴有因病变硬膜外扩展导致的脊髓受压。在本报告中，我们回顾了与侵袭性血管瘤相关的特征性影像学表现，包括其在读出分段扩散加权图像上的表现。解读儿童检查的放射科医生必须意识到这种病变的存在及其外观，因为如果在手术中意外遇到，它可能会伴有大量出血。
