Percutaneous Sclerotherapy of Symptomatic Vertebral Hemangiomas : Case Report and Review of the Literature

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The management of vertebral hemangiomas remains controversial. This report describes the successful management of a spinal cord compression caused by an intra and extra-osseous vertebral hemangioma, with a percutaneous injection of absolute alcohol. A 71-year-old woman presented with lower-extremity weakness and sensory disturbance. Magnetic Resonance Imaging and Computed Tomogoraphy confirmed the presence of vertebral hemangioma involving the Th 11 vertebral body. CT-guided percutaneous transpedicular injection of absolute alcohol into the affected vertebral body resulted in symptomatic and imaging improvement. CT-guided percutaneous transpedicular injection of absolute alcohol into symptomatic vertebral hemangiomas is a simple, safe and effective technique for relieving compression and devascularising the hemangioma.
日本脊髄外科学会の論文