Expert’s Comment concerning Grand Rounds case entitled 'Aggressive vertebral hemangioma of the thoracic spine without typical radiological appearance' (Lei Dang, Chen Liu, Shao Min Yang, Liang Jiang, Zhong Jun Liu, Xiao Guang Liu, Hui Shu Yuan, Feng Wei, Miao Yu)

Autor: Daryl R. Fourney
Rok vydání: 2012
Předmět:
Zdroj: European Spine Journal. 21:2000-2002
ISSN: 1432-0932
0940-6719
DOI: 10.1007/s00586-012-2384-y
Popis: Although symptomatic aggressive vertebral hemangiomas are relatively rare, it is not unusual to encounter a case every few years in a tertiary spine practice. There are very few spinal lesions that have such a broad array of treatment options (observation, radiation therapy, radiosurgery, embolization, alcohol injection, vertebroplasty, kyphoplasty, laminectomy, intralesional resection, total en bloc spondylectomy and combinations of these treatments) with essentially no consensus in the literature regarding which is most appropriate and in which clinical circumstances. Although these lesions appear extremely hostile on imaging, it is important to remember that the histology is benign. This patho-radiologic contradiction may explain much of the variation in treatment. The authors describe a case of a 41-year old physician who presented with back pain and left thoracic radiculopathy due to aggressive vertebral hemangioma at T5 [1]. Although there was spinal cord compression, the patient had no weakness or numbness in her lower extremities. I want to congratulate the authors for successfully alleviating the symptoms with surgery. There was no recurrence 12 months after radiation therapy.
Databáze: OpenAIRE
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