Title: Aggressive Vertebral Haemangioma Leading to Paraparesis in A Pregnant Lady---A Case Report
Author: Dr Dhrubajyoti B P Gohain
DOI: http://dx.doi.org/10.18535/jmscr/v3i10.41
Vertebral haemangioma (VHs) are benign tumours with rich vasculature. They are called aggressive when it is characterised by bone expansion, extra osseous extension of the tumour, disturbance of local blood flow and, in rare cases, compression fractures [1,2]. We report a 19-year-old pregnant woman, presented with back pain & progressive weakness of the lower limbs during her pregnancy period. Magnetic resonance imaging (MRI) revealed a haemangioma in the vertebral body extending into the posterior appendage with soft tissue component extending into epidural space causing compression of the spinal cord leading to myelopathic changes (VH type IV, according to Tomita’s surgical classification.) Keywords: haemangioma, MRI, posterior appendages, myelopathy 1. Chen, H.I., Heuer, G.G., Zaghloul, K., Simon, S.L., Weigele, J.B. and Grady, M.S. (2007) Lumbar Vertebral Hemangioma Presenting with the Acute Onset of Neurological Symptoms. Journal of Neurosurgery: 7:80-85 2. Cheung N.K., Doorenbosch X.and Christie J.G.,2011.Rapid onset aggressive vertebral haemangioma. 27: 469-72 3. Ross J.S., Masaryk T.J., Modic M.T., Carter J.R., Mapstone T. and Dengel F.H.,1987.Vertebral hemangiomas:MRimaging. Radiology 4. Laredo J.D., Reizine D., Bard M. and Merland J.J.,1986.Vertebral hemangioma: radiologic evaluation. Radiology, 161:183-189. 5. Tomita, K., Kawahara, N., Baba, H., Tsuchiya, H., Fujita, T. and Toribatake, Y. (1997) Total En Bloc Spondylectomy:A New Surgical Technique for Primary Malignant Vertebral Tumors. 6. Schwartz TH, Hibshoosh H, Riedel CJ: Estrogen and progesterone receptor-negative T11 vertebral hemangioma presenting as a postpartum compression fracture: case report and management. Neurosurgery 2000, 46:218-221Abstract
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