The authors present a rare case of lumbar vertebral hemangioma extending to the epidural space with a bisected appearance and impinging on thecal sac. This 52-year-old lady presented with one year history of low back pain and bilateral leg radiation. Plain radiography showed vertical linear streaks at L2 vertebral body and axial computed tomography (CT) scan revealed small ‘polka dot’ appearance within the vertebral body. Magnetic resonance imaging (MRI) showed low signal intensity on T1-weighted images in L2 vertebral body which was not characteristic for hemangioma. The patient underwent an L2 laminectomy, spinal canal decompression and posterior spinal instrumentation. This study indicates that lumbar vertebral hemangioma can extend to the epidural space and cause neurologic symptoms. Magnetic resonance imaging may not show diagnostic features, especially in active lesions and plain radiography and CT scan may be helpful
Keywords : Back,Back Pain,complications,Decompression,Decompression,Surgical,diagnosis,diagnostic imaging,Epidural Space,etiology,Female,Hemangioma,history,Humans,instrumentation,Iran,Laminectomy,Leg,Low Back Pain,Lumbar Vertebrae,Magnetic Resonance Imaging,Middle Aged,Neoplasm Invasiveness,Nerve Compression Syndromes,Neurosurgery,Pain,pathology,Radiography,Spinal Canal,Spinal Fusion,Spinal Neoplasms,surgery,Tomography,X-Ray Computed,Treatment Outcome,Universities,, Vertebral,Hemangioma,With,Extradural,Extension, pharmacierge pharmacy
Date of Publication : 2011
Authors : Jouibari MF;Khoshnevisan A;Ghodsi SM;Nejat F;Naderi S;Abdollahzadeh S;
Organisation : Department of Neurosurgery, Tehran University of Medical Sciences, Iran
Journal of Publication : Acta Med Iran
Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/22071649
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