Multi-modal management of aggressive vertebral hemangioma: A single center experience
10.7461/jcen.2025.E2024.12.003
- Author:
Mohamed FAROUK
1
;
Mohamed Ali KASSEM
;
Ashraf EZZELDEIN
;
Mohamed Mohsen AMEEN
;
Ali Hassan ELMOKADEM
;
Mohamed M ELSHERBINI
Author Information
1. Department of Neurosurgery, Mansoura University, Mansoura, Egypt
- Publication Type:Clinical Article
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2025;27(1):40-49
- CountryRepublic of Korea
- Language:English
-
Abstract:
Objective:This study aims at spotlighting different lines of management of aggressive vertebral hemangioma (VH) through a retrospective analysis of single center experience.
Methods:Patients diagnosed with aggressive VHs in a tertiary referral center were reviewed from 2014 through 2024. Data of patients who met the inclusion criteria were analyzed. Patients of all ages, both sexes, and all varieties of clinical presentation were included, only patients who underwent at least one intervention were included.
Results:The study included nine patients, comprising six females and three males, with a mean age of 29.3 years (ranging from 14 to 46). Six patients underwent Trans-arterial embolization (TAE), of whom five underwent further surgical procedures, while one patient found TAE to be sufficient as a stand-alone management technique. Eight patients underwent surgical management, five of whom were pre-operatively embolized.
Conclusions:Aggressive VHs are rare, and their management is challenging. Most cases require a multi-modal management, especially when presented with neurological deficit. Pre-operative embolization and/or vertebroplasty are safe and useful tools to decrease intra-operative bleeding of such a vascular pathology in cases undergoing open surgical procedures.
