Abstract:
STUDY DESIGN:Case report and clinical discussion. OBJECTIVE:We intend to report a very rare case of a giant spinal hemangioma causing myelopathy. SUMMARY OF BACKGROUND DATA:Multilevel symptomatic spinal hemangiomas causing acute neurologic symptoms are rare disorders. We found only sporadic reports in English literature. METHODS:We describe a very rare case in which Klippel-Trenaunay-Weber syndrome is associated with a multisegmental vertebral hemangioma causing a rapidly progressing thoracic myelopathy. RESULTS:Because of the extension of the disease, surgical intervention was not feasible, the patient was treated by radiotherapy. The patient showed a complete regression of symptoms with stable condition after 3 months. CONCLUSIONS:In extensive spinal hemangiomas, radiotherapy may represent a safe treatment modality with rapid clinical improvement even in cases with spinal cord compression. This report contributes to a wide range of known vascular abnormalities in Klippel-Trenaunay-Weber syndrome and supports the need for a careful multisystemic evaluation of these patients.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Grau SJ,Holtmannspoetter M,Seelos K,Tonn JC,Siefert Adoi
10.1097/BRS.0b013e3181a4e4b8subject
Has Abstractpub_date
2009-06-15 00:00:00pages
E498-500issue
14eissn
0362-2436issn
1528-1159pii
00007632-200906150-00023journal_volume
34pub_type
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