Farouk Mohamed, Kassem Mohamed Ali, Ezzeldein Ashraf, Ameen Mohamed Mohsen, Elmokadem Ali Hassan, Elsherbini Mohamed M
Department of Neurosurgery, Mansoura University, Mansoura, Egypt.
J Cerebrovasc Endovasc Neurosurg. 2025 Mar;27(1):40-49. doi: 10.7461/jcen.2025.E2024.12.003. Epub 2025 Mar 13.
This study aims at spotlighting different lines of management of aggressive vertebral hemangioma (VH) through a retrospective analysis of single center experience.
Patients diagnosed with aggressive VHs in a tertiary referral center were reviewed from 2014 through 2024. Data of patients who met the inclusion criteria were analyzed. Patients of all ages, both sexes, and all varieties of clinical presentation were included, only patients who underwent at least one intervention were included.
The study included nine patients, comprising six females and three males, with a mean age of 29.3 years (ranging from 14 to 46). Six patients underwent Trans-arterial embolization (TAE), of whom five underwent further surgical procedures, while one patient found TAE to be sufficient as a stand-alone management technique. Eight patients underwent surgical management, five of whom were pre-operatively embolized.
Aggressive VHs are rare, and their management is challenging. Most cases require a multi-modal management, especially when presented with neurological deficit. Pre-operative embolization and/or vertebroplasty are safe and useful tools to decrease intra-operative bleeding of such a vascular pathology in cases undergoing open surgical procedures.
本研究旨在通过对单中心经验的回顾性分析，突出侵袭性椎体血管瘤（VH）的不同管理方法。
对2014年至2024年在一家三级转诊中心诊断为侵袭性VH的患者进行回顾。分析符合纳入标准的患者数据。纳入所有年龄、性别和各种临床表现的患者，仅纳入至少接受过一次干预的患者。
该研究纳入了9例患者，包括6名女性和3名男性，平均年龄29.3岁（范围为14至46岁）。6例患者接受了经动脉栓塞（TAE），其中5例进一步接受了外科手术，而1例患者发现TAE作为单独的管理技术就足够了。8例患者接受了手术治疗，其中5例在术前进行了栓塞。
侵袭性VH罕见，其管理具有挑战性。大多数病例需要多模式管理，尤其是出现神经功能缺损时。术前栓塞和/或椎体成形术是减少接受开放手术的此类血管病变术中出血的安全且有用的工具。
