Document Detail


Symptomatic thoracic vertebral hemangioma: a case report and literature review.
MedLine Citation:
PMID:  15375832     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Vertebral hemangiomas are relatively common, but those causing spinal cord compression are rare. A man in his early sixties with back pain that had not resolved with conservative treatment was seen in an outpatient physiatrist office. Subsequent workup with computed tomography scan showed a large hemangioma in the T5 vertebra extending to the posterior elements where his pain was located. Three weeks later, the patient had progressive weakness and numbness in his lower extremity. He subsequently underwent a T3-5 laminectomy, with a subtotal resection of the mass. He reported improvement in lower-extremity strength and sensation and completed a course of inpatient rehabilitation. Recognizing when to expect neurologic symptoms and the proper time to intervene can be very critical. From this case study and other similar instances, one can conclude that vertebral hemangiomas are not always benign and are capable of causing cord compression. Proper diagnosis and treatment may prevent the development of neurologic symptoms.
Authors:
Jonathan Rudnick; Michelle Stern
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  85     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-09-17     Completed Date:  2004-10-19     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1544-7     Citation Subset:  AIM; IM    
Affiliation:
College of Physicians and Surgeons-Columbia University and New York-Presbyterian Hospital, New York, NY, USA.
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MeSH Terms
Descriptor/Qualifier:
Back Pain / etiology
Decompression, Surgical
Diagnosis, Differential
Evoked Potentials, Somatosensory
Hemangioma / complications,  diagnosis*,  surgery
Humans
Laminectomy
Magnetic Resonance Imaging
Male
Middle Aged
Monitoring, Intraoperative
Paraparesis / etiology
Spinal Cord Compression / etiology
Spinal Neoplasms / complications,  diagnosis*,  surgery
Stereotaxic Techniques
Thoracic Vertebrae*
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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