Healy M, Herz D A, Pearl L
Neurosurgery. 1983 Dec;13(6):689-91. doi: 10.1227/00006123-198312000-00013.
Three new cases of spinal cord compression due to vertebral hemangioma are reported. The clinical presentation, with spinal pain, radicular radiation, and paraparesis, is similar to that of primary lymphoma, metastatic tumor, and disc disease. If the characteristic plain film changes of vertical trabeculations and striations are present, the preoperative diagnosis is facilitated, but in the majority of cases these are not seen. In some instances, vertebral body or pedicle erosion is present. A myelographic epidural block will be seen on further study. Spinal arteriography can prove helpful. Surgical decompression results in marked neurological improvement if intervention takes place before the onset of complete paralysis. The authors recommend that the diagnosis of vertebral hemangioma be considered in the differential diagnosis of epidural spinal cord compression whenever considered in the differential diagnosis of epidural spinal cord compression whenever a primary malignant neoplasm cannot be identified.
报告了3例因椎体血管瘤导致脊髓受压的新病例。临床表现为脊柱疼痛、神经根放射痛和下肢轻瘫，与原发性淋巴瘤、转移性肿瘤和椎间盘疾病相似。如果存在垂直小梁和条纹的特征性平片改变，则有助于术前诊断，但在大多数病例中未见这些改变。在某些情况下，存在椎体或椎弓根侵蚀。进一步检查会发现脊髓造影硬膜外阻滞。脊髓血管造影可能会有帮助。如果在完全瘫痪发作前进行干预，手术减压可使神经功能显著改善。作者建议，在鉴别诊断硬膜外脊髓受压时，只要无法识别原发性恶性肿瘤，就应考虑椎体血管瘤的诊断。
