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Hemangioma Spine Introduction — also known as Spinal Hemangioma

Treatment and intervention are typically not used in asymptomatic individuals because the great majority of hemangiomas are asymptomatic and benign entities. Different treatments have been employed in the treatment of symptomatic patients. Endovascular embolization has been demonstrated to decrease spinal cord compression from epidural extension and has been used to treat uncomfortable vertebral hemangiomas. The ability of percutaneous vertebroplasty to reduce pain has also been demonstrated. Spinal hemangiomas have been treated with transpedicular ethanol injection, however side effects have been reported. Since spinal hemangiomas are radiosensitive lesions, radiation therapy has also been…

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Articles of Interest

A Vertebral Hemangioma Causing Cord Compression

Vertebral hemangioma is a slow-growing tumor which involves the vertebral body only. It is usually discovered incidentally on lateral radiographs of the spine and only rarely symptomatic. Compression of the spinal cord due to vertebral hemangioma is very rare.

Acute spinal cord compression caused by atypical vertebral hemangioma

Vertebral hemangioma is common, benign lesion that occurs mostly in the body of vertebral bones and is mostly asymptomatic although they may occasionally extend into the posterior elements.

Aggressive Vertebral Hemangioma: The Mystery of Spastic Legs Unveiled by a Purple Shoulder

Vertebral hemangiomas (VHs) are benign vascular tumors that develop from the endoderm of blood vessels, although their exact pathogenesis is poorly understood. Most hemangiomas are small, about a third are multiple in number, and a very small number of these hemangiomas cause symptoms. Even more rare are aggressive VHs, which comprise a small number of all VHs, and are associated with expansion and extraosseous extension into the paraspinal and epidural spaces. Management of aggressive VHs involve pre-op embolization, spinal surgery, and reconstruction.

Characterization and Distribution of Vertebral Hemangiomas...

Hemangiomas of bone are vascular lesions that frequently develop spontaneously in osseous structures and are widely recognized as behaving in a clinically benign manner. They are hamartomas consisting of an irregular overgrowth of capillaries, as opposed to true neoplasms.

In Vertebral Hemangiomas with Neurological Deficit, Is a Less Extensive Approach Adequate?

In AVH with neurological deficits, less extensive approaches, such as posterior decompression with vertebroplasty and intralesional tumor resection with anterior reconstruction, offer good clinical and neurological outcomes with less recurrence, and en bloc spondylectomy may rarely be needed.

Management of Painful Vertebral Hemangiomas with Kyphoplasty...

Vertebral hemangiomas are most commonly non-painful benign findings but in 0.9 to 1.2% of individuals they can contribute to pain symptomatology. Clinical signs frequently include severe mechanical back pain worsened with movement without a radicular component. However, they may be associated with neurogenic pain when the hemangioma extends into the spinal canal or neural foramen

Patient With Spinal Hemangioma Has Life-Altering Treatment at Barrow

Scholl underwent the first of two procedures: endovascular embolization to reduce the risk of significant blood loss during the removal of the tumor. This procedure involves guiding a thin, flexible tube called a catheter through the network of blood vessels in the body to the site of the lesion and then inserting materials to seal it off from blood flow.

Spinal Hemangioma: What You Should Know

While most spinal hemangiomas are asymptomatic and go unnoticed, symptoms arise when the tumor puts pressure on nearby nerves or the spinal cord. Hemangiomas in the spine can expand and cause the bones to move out of place. This can happen if the tumor grows beyond the bone or leads to the breakdown of the spinal bones. In less common cases, they may even erode into the spinal canal.

Resources

Radiopaedia

Most hemangiomas are asymptomatic. The collapse of the vertebral body or encroachment into the neural canal are some of the classic causes of pain. An increase in activity can cause the vertebral hemangioma to become painful, such as starting to exercise, housework and such like. This is most likely due to axial loading through the body of the vertebra.

Radsource

Hemangiomas of the vertebral bodies are common benign vascular tumors. Vertebral body hemangiomas are the most common tumor of the spinal axis and occur in approximately 10-20% of adults.1 Most of the lesions occur in the thoracolumbar spine. Though rare, aggressive hemangiomas can be symptomatic and pathologic fractures can lead to myelopathy and cord compression. In such patients, MR accurately displays the extraosseous extension of the hemangioma and its effect upon the spinal canal and cord.

StatPearls

Spinal hemangiomas are the most common primary tumor of the spine. These lesions are of vascular origin and usually involve a proliferation of normal capillary and venous structures. These are usually an incidental finding found on radiological imaging of the body and spine. A minority of these lesions can be associated with symptoms, primarily involving back pain and neurologic complaints with some estimates of 0.9% to 1.2% becoming symptomatic.