Korean J Spine.  2009 Sep;6(3):192-196.

A Case of an Epidural Extension of Vertebral Hemangioma Treated by Intraoperative Vertebroplasty and Laminectomy

• Lee SE
• Moon KY
• Jahng TA
• Chung CK
• Kim HJ

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.

Keyword

Vertebral hemangioma; Spinal cord compression; Vertebroplasty

MeSH Terms

Aged
Epidural Space
Female
Hemangioma
Humans
Laminectomy
Low Back Pain
Lower Extremity
Spinal Cord
Spinal Cord Compression
Vertebroplasty