Acute Paraparesis due to Aggressive Vertebral Hemangioma. Report of Two Cases and Literature Review

DOI: https://doi.org/10.15417/issn.1852-7434.2021.86.3.1161
Keywords: Aggressive hemangioma, benign tumor, spine, radiotherapy, paraparesis

Abstract

Introduction: Aggressive hemangiomas make up 1% of all vertebral hemangiomas. They can produce pain, fractures, deformity and slowly progressive neurological compromise. Different treatment approaches have been described, but optimal management remains unclear. We report two cases of acute paraparesis secondary to aggressive thoracic hemangioma, we describe their treatment and evolution. We carry out a narrative review of the literature on vertebral hemangiomas. Conclusion: Through early decompression and arthrodesis followed by local adjuvant radiotherapy, we obtained complete neurological recovery and disease control in a medium-term follow-up.

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Author Biographies

Matías Pereira Duarte, Adult Spinal Pathology Sector, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)
Adult Spinal Pathology Sector, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires(Buenos Aires, Argentina)
Dr. Camino Willhuber, Adult Spinal Pathology Sector, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)
Adult Spinal Pathology Sector, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires(Buenos Aires, Argentina)
Gonzalo Kido, Adult Spinal Pathology Sector, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)
Adult Spinal Pathology Sector, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)
Julio Bassani, Adult Spinal Pathology Sector, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires(Buenos Aires, Argentina)
Adult Spinal Pathology Sector, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires(Buenos Aires, Argentina)
Matías Petracchi, Adult Spinal Pathology Sector, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)
Adult Spinal Pathology Sector, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires(Buenos Aires, Argentina)
Carlos Solá, Adult Spinal Pathology Sector, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)
Adult Spinal Pathology Sector, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)
Marcelo Gruenberg, Adult Spinal Pathology Sector, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires (Buenos Aires, Argentina)
Adult Spinal Pathology Sector, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires(Buenos Aires, Argentina)

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Published
2021-06-15
How to Cite
Pereira Duarte, M., Camino Willhuber, G., Kido, G., Bassani, J., Petracchi, M., Solá, C., & Gruenberg, M. (2021). Acute Paraparesis due to Aggressive Vertebral Hemangioma. Report of Two Cases and Literature Review. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 86(3), 398-406. https://doi.org/10.15417/issn.1852-7434.2021.86.3.1161
Issue
Vol 86 No 3 (2021)
Section
Case Presentations
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