Atypical Aggressive Hemangioma of Thoracic Vertebrae Associated With Thoracic Myelopathy—A Case Report and Review of the Literature
Aggressive thoracic hemangiomas are rare, benign tumors that extend into the spinal canal and cause neurological symptoms. Delayed diagnosis and treatment, due to a paucity of literature on optimal treatment strategies, can increase morbidity. This case report describes a 19-year-old male patient wi...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2024/2307950 |
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| author | Krishna Timilsina Sandesh Shrestha Om Prakash Bhatta Sushil Paudel Rajesh Bahadur Lakhey Rohit Kumar Pokharel |
| author_facet | Krishna Timilsina Sandesh Shrestha Om Prakash Bhatta Sushil Paudel Rajesh Bahadur Lakhey Rohit Kumar Pokharel |
| author_sort | Krishna Timilsina |
| collection | DOAJ |
| description | Aggressive thoracic hemangiomas are rare, benign tumors that extend into the spinal canal and cause neurological symptoms. Delayed diagnosis and treatment, due to a paucity of literature on optimal treatment strategies, can increase morbidity. This case report describes a 19-year-old male patient with aggressive thoracic hemangioma who presented with upper back pain and progressive weakness of the lower extremities. The patient underwent preoperative embolization and sclerotherapy, followed by decompression, posterior instrumentation, and stabilization. The final diagnosis was confirmed by biopsy, and there was a significant improvement in neurology after the surgical intervention. The diagnosis of rare lesions, such as aggressive hemangiomas, requires a high level of clinical suspicion and the assistance of imaging modalities in patients with features of compressive myelopathy. A combination of endovascular and surgical approaches can lead to optimal outcomes. |
| format | Article |
| id | doaj-art-65bef2119bf04e1d95768f37905cabd1 |
| institution | Kabale University |
| issn | 2090-6757 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-65bef2119bf04e1d95768f37905cabd12025-02-03T09:56:52ZengWileyCase Reports in Orthopedics2090-67572024-01-01202410.1155/2024/2307950Atypical Aggressive Hemangioma of Thoracic Vertebrae Associated With Thoracic Myelopathy—A Case Report and Review of the LiteratureKrishna Timilsina0Sandesh Shrestha1Om Prakash Bhatta2Sushil Paudel3Rajesh Bahadur Lakhey4Rohit Kumar Pokharel5Pokhara Academy of Health SciencesDepartment of Orthopaedics and Trauma SurgeryDepartment of Emergency MedicineDepartment of Orthopaedics and Trauma SurgeryDepartment of Orthopaedics and Trauma SurgeryDepartment of Orthopaedics and Trauma SurgeryAggressive thoracic hemangiomas are rare, benign tumors that extend into the spinal canal and cause neurological symptoms. Delayed diagnosis and treatment, due to a paucity of literature on optimal treatment strategies, can increase morbidity. This case report describes a 19-year-old male patient with aggressive thoracic hemangioma who presented with upper back pain and progressive weakness of the lower extremities. The patient underwent preoperative embolization and sclerotherapy, followed by decompression, posterior instrumentation, and stabilization. The final diagnosis was confirmed by biopsy, and there was a significant improvement in neurology after the surgical intervention. The diagnosis of rare lesions, such as aggressive hemangiomas, requires a high level of clinical suspicion and the assistance of imaging modalities in patients with features of compressive myelopathy. A combination of endovascular and surgical approaches can lead to optimal outcomes.http://dx.doi.org/10.1155/2024/2307950 |
| spellingShingle | Krishna Timilsina Sandesh Shrestha Om Prakash Bhatta Sushil Paudel Rajesh Bahadur Lakhey Rohit Kumar Pokharel Atypical Aggressive Hemangioma of Thoracic Vertebrae Associated With Thoracic Myelopathy—A Case Report and Review of the Literature Case Reports in Orthopedics |
| title | Atypical Aggressive Hemangioma of Thoracic Vertebrae Associated With Thoracic Myelopathy—A Case Report and Review of the Literature |
| title_full | Atypical Aggressive Hemangioma of Thoracic Vertebrae Associated With Thoracic Myelopathy—A Case Report and Review of the Literature |
| title_fullStr | Atypical Aggressive Hemangioma of Thoracic Vertebrae Associated With Thoracic Myelopathy—A Case Report and Review of the Literature |
| title_full_unstemmed | Atypical Aggressive Hemangioma of Thoracic Vertebrae Associated With Thoracic Myelopathy—A Case Report and Review of the Literature |
| title_short | Atypical Aggressive Hemangioma of Thoracic Vertebrae Associated With Thoracic Myelopathy—A Case Report and Review of the Literature |
| title_sort | atypical aggressive hemangioma of thoracic vertebrae associated with thoracic myelopathy a case report and review of the literature |
| url | http://dx.doi.org/10.1155/2024/2307950 |
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