Aggressive Vertebral Hemangioma Causing Acute Spinal Cord Compression

Abstract

DOI https://doi.org/ 10.1055/s-0039-1700611 ISSN 0976-3147. ©2019 Association for Helping Neurosurgical Sick People A 46-year-old woman presented to our emergency department with sudden onset of lower extremity weakness after physical activity. She referred only dorsal back pain before these symptoms. Neurologic examination revealed weakness (2⁄5) of lower limbs, hyperreflexia of deep tendon reflex of lower limbs, hypoesthesia under D7 level, and no sphincteric dysfunction. A computed tomography scan showed an accentuation of trabecular markings within the vertebral body and areas of lysis (►Figs. 1A and F). Contrast-enhanced magnetic resonance images show diffuse abnormal marrow signal throughout the T6 vertebral body with epidural components with spinal cord compression (►Fig. 1B–H). She underwent surgery on the same day through a mini-open decompression and percutaneous short posterior J Neurosci Rural Pract 2019;10:672–674