Rapid onset aggressive vertebral haemangioma
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Nicholas K. Cheung & Xenia Doorenbosch & John G. Christie
- چاپ و سال / کشور: 2011
Description
Introduction Vertebral haemangiomas are generally benign asymptomatic vascular tumours seen commonly in the adult population. Presentations in paediatric populations are extremely rare, which can result in rapid onset of neurological symptoms. We present a highly unusual case of an aggressive paediatric vertebral haemangioma causing significant cord compression. Case report A 13-year-old boy presented with only 2 weeks duration of progressive gait disturbance, truncal ataxia and loss of bladder control. Magnetic resonance imaging (MRI) of the spine revealed a large vascular epidural mass extending between T6 and T8 vertebral bodies. Associated displacement and compression of the spinal cord was present. A highly vascular bony lesion was found during surgery. Histopathology identified this tumour to be a vertebral haemangioma. Discussion We present an extremely unusual acute presentation of a paediatric vertebral haemangioma. This study highlights the need for early diagnosis, MRI for investigation and urgent surgical managemen
Childs Nerv Syst (2011) 27:469–472 DOI 10.1007/s00381-011-1391-3 Received: 29 November 2010 / Accepted: 4 January 2011 / Published online: 19 January 2011
