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Aggressive Dorsal Vertebral Hemangioma Causing Compressive Mielopathy

Aggressive Dorsal Vertebral Hemangioma Causing Compressive Mielopathy

作     者:Ana Carla Farias Pimentel Mariana Santos Leite Pessoa Francisca Estefânia Mesquita Maciel de Lima Manuel Joaquim Diógenes Teixeira Cláudio Régis Sampaio Silveira Ana Carla Farias Pimentel;Mariana Santos Leite Pessoa;Francisca Estefânia Mesquita Maciel de Lima;Manuel Joaquim Diógenes Teixeira;Cláudio Régis Sampaio Silveira

作者机构:Ana Carla Farias Pimentel MD Radiologist Hospital Geral de Fortaleza (HGF) Fortaleza-CE Brazil Mariana Santos Leite Pessoa MD Radiology Resident Hospital Geral de Fortaleza (HGF) Fortaleza-CE Brazil Francisca Estefania Mesquita Maciel de Lima MD Pathologist Laboratório Mikros Fortaleza-CE Brazil Manuel Joaquim Diógenes Teixeira MD Orthopedist Hospital Geral de Fortaleza (HGF) Fortaleza-CE Brazil Cláudio Régis Sampaio Silveira MD Radiologist Hospital Geral de Fortaleza (HGF) Fortaleza-CE Brazil Hospital S?o Carlos Fortaleza-CE Brazil 

出 版 物:《Open Journal of Medical Imaging》 (医学影像期刊(英文))

年 卷 期:2021年第11卷第3期

页      面:85-91页

学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主  题:Aggressive Vertebral Hemangioma Compressive Myelopathy Magnetic Resonance Imaging 

摘      要:Vertebral hemangiomas are common benign lesions of the spine, characterized by abnormal vascular proliferation, being commonly asymptomatic incidental findings, presenting symptoms in only a small portion of affected individuals. In a smaller number of cases, however, hemangiomas can present an expansive effect and extra-osseous extension, determining a mass effect and neurological symptoms, being therefore called aggressive hemangiomas. On MRI, aggressive hemangiomas are characterized by having a larger vascular component and a smaller fat component, thus producing a low signal on T1-weighted images. We illustrate the case of a young male patient who presented with pain in the upper thoracic spine, who developed paraparesis and ascending sensory deficit and progressive lower limbs, progressing to paraplegia and loss of sphincter control.

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