Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, 44106, USA.
Spinal Cord Ser Cases. 2023 May 20;9(1):20. doi: 10.1038/s41394-023-00577-3.
Vertebral hemangiomas are common and typically benign vascular lesions, with a prevalence of 10-12% in the general population and 2-3% in all spine tumors. A small subset of vertebral hemangiomas can be categorized as "aggressive" if they exhibit extraosseous expansion that compress the spinal cord, causing pain and various neurologic symptoms. This report details a case of aggressive thoracic hemangioma resulting in worsening pain and paraplegia to draw attention to this rare condition, including identification and treatment.
In this case, we present a 39 year-old female with a history of progressively worsening pain and paraplegia caused by compression of the spinal cord from an aggressive thoracic vertebral hemangioma. Clinical presentation, imaging, and biopsies, confirmed the diagnosis. A combined surgical and endovascular treatment strategy was implemented, and the patient's symptoms improved.
Aggressive vertebral hemangioma is a rare condition that may cause symptoms that diminishes the quality of life, including pain and various neurological symptoms. Given the low number of such cases, and significant impact on lifestyle, it is beneficial to identify cases of aggressive thoracic hemangiomas to ensure timely and accurate diagnosis and help development of treatment guidelines. This case highlights the importance of identifying and diagnosing this rare but serious disease.
椎体血管瘤是一种常见的良性血管性病变，在普通人群中的患病率为 10-12%，在所有脊柱肿瘤中的患病率为 2-3%。一小部分椎体血管瘤如果表现出压迫脊髓的骨外扩张，可被归类为“侵袭性”，导致疼痛和各种神经症状。本报告详细介绍了一例侵袭性胸椎血管瘤导致疼痛加重和截瘫的病例，以引起对这种罕见疾病的关注，包括识别和治疗。
在本例中，我们介绍了一位 39 岁的女性患者，因侵袭性胸椎椎体血管瘤压迫脊髓导致疼痛逐渐加重和截瘫。临床表现、影像学和活检均证实了诊断。采用了联合手术和血管内治疗策略，患者的症状得到了改善。
侵袭性椎体血管瘤是一种罕见的疾病，可能导致生活质量下降的症状，包括疼痛和各种神经症状。鉴于此类病例数量较少，且对生活方式的影响较大，因此识别侵袭性胸椎血管瘤病例有助于及时准确地诊断，并有助于制定治疗指南。本病例强调了识别和诊断这种罕见但严重疾病的重要性。
