Aggressive vertebral hemangioma in paediatric spine with cord compression

Vertebral body hemangiomas are benign primary vascular tumours and account for 4% of all spinal tumours. The majority of patients are asymptomatic. They affect male and female equally. The majority has seen in middle age group. An aggressive vertebral hemangioma presenting with neurological deficits...

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Main Authors:	Mor Japar Khan, Ed Simor Khan, Amir, Dzulkarnain, Singh, Manmohan, Goh, Jin Hee, Zainal Abidin, Nor Azlin, Mohamad, Fazir
Format:	Article
Language:	English
Published:	Kulliyyah of Medicine, International Islamic University Malaysia 2016
Subjects:	RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/63890/ http://irep.iium.edu.my/63890/ http://irep.iium.edu.my/63890/2/MRS2016-Aggressive%20vertebral%20hemangioma%20in%20paediatric%20spine%20with.pdf

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recordtype	eprints
spelling	iium-638902018-06-01T06:54:58Z http://irep.iium.edu.my/63890/ Aggressive vertebral hemangioma in paediatric spine with cord compression Mor Japar Khan, Ed Simor Khan Amir, Dzulkarnain Singh, Manmohan Goh, Jin Hee Zainal Abidin, Nor Azlin Mohamad, Fazir RD701 Orthopedics Vertebral body hemangiomas are benign primary vascular tumours and account for 4% of all spinal tumours. The majority of patients are asymptomatic. They affect male and female equally. The majority has seen in middle age group. An aggressive vertebral hemangioma presenting with neurological deficits are rare, accounting for less than 1% in the general population. A 10 year old girl with a two weeks history of unsteady gait, frequent falls and back pain which was preceded by a history of traumatic compression fracture of T10 vertebrae. Examination revealed upper motor lesion. MRI demonstrated a T10 body and posterior element lesion with cord compression. A CT scan with the typical picture of ‘polka dot’ can be seen on axial cut. Biopsy confirmed the diagnosis of vertebral hemangioma. Pre-op embollization, decompression, vertebroplasty and posterior stabilization was done. One week post-op, her condition improved significantly. At six weeks post-op her condition was back to normal. Spinal hemangioma may affect all levels of the vertebrae with a predilection towards the thoracic region. MRI plays an important role, especially in looking at the extension of cord compression and presence of extraosseus lesion. An inactive lesion consist mainly of fatty tissue which give a hyperintense signal on both T1 and T2 weighted images. Treatment options range from radiotherapy, embolisation and surgery. Our goal of treatment in this patient was to decompress the spinal cord and achieved a stable spine. Persistent chronic back pain months after a compression fracture should raise our suspicion to pathological cause. Further investigation must be carried out to confirm the diagnosis. Kulliyyah of Medicine, International Islamic University Malaysia 2016-11-10 Article PeerReviewed application/pdf en http://irep.iium.edu.my/63890/2/MRS2016-Aggressive%20vertebral%20hemangioma%20in%20paediatric%20spine%20with.pdf Mor Japar Khan, Ed Simor Khan and Amir, Dzulkarnain and Singh, Manmohan and Goh, Jin Hee and Zainal Abidin, Nor Azlin and Mohamad, Fazir (2016) Aggressive vertebral hemangioma in paediatric spine with cord compression. The International Medical Journal Malaysia, 15 (Supplementary Issue No 1). p. 69. ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/Volume%2015%20Supplement/MRS2016-ABSTRACT-BOOK-69.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RD701 Orthopedics
spellingShingle	RD701 Orthopedics Mor Japar Khan, Ed Simor Khan Amir, Dzulkarnain Singh, Manmohan Goh, Jin Hee Zainal Abidin, Nor Azlin Mohamad, Fazir Aggressive vertebral hemangioma in paediatric spine with cord compression
description	Vertebral body hemangiomas are benign primary vascular tumours and account for 4% of all spinal tumours. The majority of patients are asymptomatic. They affect male and female equally. The majority has seen in middle age group. An aggressive vertebral hemangioma presenting with neurological deficits are rare, accounting for less than 1% in the general population. A 10 year old girl with a two weeks history of unsteady gait, frequent falls and back pain which was preceded by a history of traumatic compression fracture of T10 vertebrae. Examination revealed upper motor lesion. MRI demonstrated a T10 body and posterior element lesion with cord compression. A CT scan with the typical picture of ‘polka dot’ can be seen on axial cut. Biopsy confirmed the diagnosis of vertebral hemangioma. Pre-op embollization, decompression, vertebroplasty and posterior stabilization was done. One week post-op, her condition improved significantly. At six weeks post-op her condition was back to normal. Spinal hemangioma may affect all levels of the vertebrae with a predilection towards the thoracic region. MRI plays an important role, especially in looking at the extension of cord compression and presence of extraosseus lesion. An inactive lesion consist mainly of fatty tissue which give a hyperintense signal on both T1 and T2 weighted images. Treatment options range from radiotherapy, embolisation and surgery. Our goal of treatment in this patient was to decompress the spinal cord and achieved a stable spine. Persistent chronic back pain months after a compression fracture should raise our suspicion to pathological cause. Further investigation must be carried out to confirm the diagnosis.
format	Article
author	Mor Japar Khan, Ed Simor Khan Amir, Dzulkarnain Singh, Manmohan Goh, Jin Hee Zainal Abidin, Nor Azlin Mohamad, Fazir
author_facet	Mor Japar Khan, Ed Simor Khan Amir, Dzulkarnain Singh, Manmohan Goh, Jin Hee Zainal Abidin, Nor Azlin Mohamad, Fazir
author_sort	Mor Japar Khan, Ed Simor Khan
title	Aggressive vertebral hemangioma in paediatric spine with cord compression
title_short	Aggressive vertebral hemangioma in paediatric spine with cord compression
title_full	Aggressive vertebral hemangioma in paediatric spine with cord compression
title_fullStr	Aggressive vertebral hemangioma in paediatric spine with cord compression
title_full_unstemmed	Aggressive vertebral hemangioma in paediatric spine with cord compression
title_sort	aggressive vertebral hemangioma in paediatric spine with cord compression
publisher	Kulliyyah of Medicine, International Islamic University Malaysia
publishDate	2016
url	http://irep.iium.edu.my/63890/ http://irep.iium.edu.my/63890/ http://irep.iium.edu.my/63890/2/MRS2016-Aggressive%20vertebral%20hemangioma%20in%20paediatric%20spine%20with.pdf
first_indexed	2023-09-18T21:30:36Z
last_indexed	2023-09-18T21:30:36Z
_version_	1777412485369823232

Aggressive vertebral hemangioma in paediatric spine with cord compression

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