Thoracic vertebral hemangioma with extradural extension and spinal cord compression

Case report


      A 45-year-old man presented with progressive numbness of lower extremities and unsteady gait. Magnetic resonance imaging of the dorsal spine demonstrated multiple hyperintense inactive vertebral hemangiomas on T-1 weighted images. There was an active hemangioma involving D7 vertebral body and neural arch with epidural extension and spinal cord compression. He underwent embolization of the main feeders of the lesion and subsequent surgery. The patient's symptoms resolved after treatment. The clinical, magnetic resonance imaging findings, and treatment of this condition are discussed.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Nguyen JP
        • Djindjian M
        • Gaston A
        • Gherardi R
        • Benhaiem N
        • Caron JP
        • Poirier J
        Vertebral hemangiomas presenting with neurologic symptoms.
        Surg Neurol. 1987; 27: 391-397
        • Sherman RD
        • Wilner D
        The roentgen diagnosis of hemangioma of bone.
        AJR. 1961; 86: 1149-1159
        • Laredo JD
        • Reizine D
        • Bard M
        • Merland JJ
        Vertebral hemangiomas.
        Radiology. 1986; 161: 183-189
        • Marymont JV
        • Shapiro WM
        Vertebral hemangioma associated with spinal cord compression.
        South Med J. 1988; 81: 1586-1587
        • Padovani R
        • Tognetti F
        • Proietti D
        • Pozzati E
        • Servadei F
        Extrathecal cavernous hemangioma.
        Surg Neurol. 1982; 18: 463-465
        • Ross JS
        • Masaryk TJ
        • Modic MT
        • Carter JR
        • Mapstone T
        • Dengel FH
        Vertebral hemangiomas.
        Radiology. 1987; 165: 165-169
        • Worthy SA
        • Gholkar A
        • Walls TJ
        • Todd NV
        Case report.
        Br J Radiol. 1995; 68: 770-772
        • Hillman J
        • Bynke O
        Solitary extradural hemangiomas in the spinal canal.
        Report of five cases. Surg Neurolog. 1991; 136: 19-24
        • Hekster REM
        • Luyendijk W
        • Tan TI
        Spinal cord compression caused by vertebral hemangiomas relieved by percutaneous catheter embolization.
        Neuroradiology. 1972; 3: 160-164
        • Nicola N
        • Lins E
        Vertebral hemangioma.
        Surg Neurol. 1987; 27: 481-486