A Case of an Epidural Extension of Vertebral Hemangioma Treated by Intraoperative Vertebroplasty and Laminectomy. |
Soo Eon Lee, Kyung Yun Moon, Tae Ahn Jahng, Chun Kee Chung, Hyun Jib Kim |
Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea. taj@snu.ac.kr |
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Abstract |
Vertebral hemangioma is relatively common, but rarely extends into the epidural space and causes neurological deficits. This case report describes a 69-year-old woman with vertebral hemangioma extending into the epidural space causing spinal cord compression.
The patient presented with low back pain and progressive weakness of the left lower extremity over a period of 1 year. Radiologic findings revealed a dural encasing vertebral hemangioma with spinal cord compression at the T11 level. After T11 vertebroplasty, the lesion was subtotally removed by T10-11 total laminectomy. The patient regained motor power of the left lower extremity postoperatively. And no further tumor growth was observed at last follow-up.
This combination of intraoperative vertebroplasty and decompressive laminectomy offers a viable treatment modality for a dural encasing vertebral hemangioma with epidural extension causing cord compression. |
Keywords:
Vertebral hemangioma;Spinal cord compression;Vertebroplasty |
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