A Case of an Epidural Extension of Vertebral Hemangioma Treated by Intraoperative Vertebroplasty and Laminectomy.
- Author:
Soo Eon LEE
1
;
Kyung Yun MOON
;
Tae Ahn JAHNG
;
Chun Kee CHUNG
;
Hyun Jib KIM
Author Information
1. Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea. taj@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Vertebral hemangioma;
Spinal cord compression;
Vertebroplasty
- MeSH:
Aged;
Epidural Space;
Female;
Hemangioma;
Humans;
Laminectomy;
Low Back Pain;
Lower Extremity;
Spinal Cord;
Spinal Cord Compression;
Vertebroplasty
- From:Korean Journal of Spine
2009;6(3):192-196
- CountryRepublic of Korea
- Language:English
-
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.
