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Vertebral Haemangioma Causing Acute Compressive Myelopathy Case Study

Journal: International Journal of Science and Research (IJSR) (Vol.8, No. 2)

Publication Date:

Authors : ; ; ;

Page : 1502-1505

Keywords : Vertebral haemangiomata are typically benign vascular tumours; incidentally identified in the spinal column in 1012 % of the population;

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A 47-year-old woman with a history of anaemia presented to the emergency room with an acute onset of leg weakness. Physical examination of the bilateral lower extremities was significant for 0/5 muscle strength in all muscle groups with decreased pinprick and temperature sensation. A sensory level at the umbilicus was appreciated. Fine touch and proprioception were preserved. Bowel and bladder function were intact. CT revealed several thoracic, vertebral haemangiomatas. An MRI was suggestive of an epidural clot at the T8T10-weighted posterior epidural space. At the level of the lesion, the cerebrospinal fluid space was completely effaced, and the flattened spinal cord exhibited signs of oedema and compressive myelopathy. The patient immediately underwent surgical decompression of the spinal cord. An epidural clot and vessel conglomeration were identified. A postoperative spinal angiogram confirmed the diagnosis of vertebral haemangioma. At 1-month follow-up, the patient regained strength and sensation.

Last modified: 2021-06-28 17:24:41