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Imaging of compressive vertebral haemangiomas

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  • European Radiology
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Abstract

Compressive vertebral haemangiomas (VHs) are rare. Correct preoperative diagnosis is useful both for operative planning (since compressive VHs are extremely vascular lesions) and to allow preoperative embolisation. Numerous radiological signs for VHs have been described, but compressive VHs frequently have atypical features. In particular, magnetic resonance features are not well established. We present imaging features in three cases of compressive VH and review the imaging findings in an additional 106 previously published cases. Findings were typical in 52 of 80 plain film (65 %), 33 of 41 computed tomography (80%) and 13 of 25 magnetic resonance examinations (52%). The prevalence of previously described imaging features is reported. Awareness of the range of magnetic resonance features is important since this is frequently the initial investigation in patients presenting with Symptoms of neural compression. Since computed tomography is typical in 80 % of cases, this is a useful confirmatory test if magnetic resonance features are suspicious but not diagnostic of compressive VH.

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References

  1. Sherman RS, Wilner D (1961) The Roentgen diagnosis of hemangioma of bone. Am J Roentgenol 86: 1146–1159

    CAS  Google Scholar 

  2. McAllister VL, Kendall BE, Bull JWD (1975) Symptomatic vertebral haemangiomas. Brain 98: 71–80

    Article  PubMed  CAS  Google Scholar 

  3. Laredo J-D, Reizine D, Bard M, Merland J-J (1986) Vertebral hemangiomas; radiologic evaluation. Radiology 161: 183–189

    PubMed  CAS  Google Scholar 

  4. Laredo J-D, Assouline E, Gelbert F, Wybier M, Merland J-J, Tubiana J-M (1990) Vertebral hemangiomas: fat content as a sign of aggressiveness. Radiology 177: 467–472

    PubMed  CAS  Google Scholar 

  5. Ross JS, Masaryk TJ, Modic MT, Carter JR, Mapstone T, Dengel FH (1987) Vertebrai hemangiomas: MR imaging. Radiology 165:165–169

    PubMed  CAS  Google Scholar 

  6. Friedman DP (1996) Symptomatic vertebral hemangiomas: MR findings. Am J Roentgenol 167: 359–364

    CAS  Google Scholar 

  7. Dagi TF, Schmidek HH (1990) Vascular tumors of the spine. In: Sundaresan N, Schmidek HH, Schiller AL et al. (eds) Tumors of the spine: diagnosis and clinical management. Saunders, Philadelphia, pp 181–191

    Google Scholar 

  8. Lang EF Jr, Peserico L (1960) Neurologic and surgical aspects of vertebral hemangiomas. Surg Clin North Am:817–823

  9. Reizine D, Laredo J-D, Riche MC et al. (1986) Vertebrai hemangiomas. In: Jeanmart L (ed) Radiology of the spine. Springer, Berlin Heidelberg New York, pp 73–80

    Google Scholar 

  10. Hitzrot JM (1917) Haemangioma cavernosum of bone. Ann Surg 65: 476–482

    Article  PubMed  CAS  Google Scholar 

  11. Perman E (1926) On haemangiomata in the spinal column. Acta Chir Scand 61: 91–105

    Google Scholar 

  12. Askenasy H, Behmoaram A (1957) Neurological manifestations in haemangioma of the vertebrae. J Neurol Neurosurg Psychiatry 20: 276

    Article  PubMed  CAS  Google Scholar 

  13. Bailey P, Bucy PC (1929) Cavernous haemangioma of the vertebrae. J Am Med Assoc 92:1748–1751

    Google Scholar 

  14. Baker ND, Greenspan A, Neuwirth M (1986) Symptomatic vertebrai haemangiomas: a report of four cases. Skeletal Radiol 15: 458–463

    Article  PubMed  CAS  Google Scholar 

  15. Bartels RHMA, Grotenhuis JA, van der Spek JAN (1991) Symptomatic vertebral hemangiomas. J Neurosurg Sci 35: 187–192

    PubMed  CAS  Google Scholar 

  16. Bednar DA, Esses SI (1988) Double haemangioma of the spine with paraparesis. Spine 13:1377–1378

    Google Scholar 

  17. Bell RL (1955) Hemangioma of a dorsal vertebra with collapse and compression myelopathy. J Neurosurg 12: 570–576

    PubMed  CAS  Google Scholar 

  18. Blankstein A, Spiegelmann R, Shacked I, Schinder E, Chechick A (1988) Hemangioma of the thoracic spine involving multiple adjacent levels: case report. Paraplegia 26:186–191

    PubMed  CAS  Google Scholar 

  19. Brobeck O (1950) Haemangioma of vertebra associated with compression of the spinal cord. Acta Radiol 34: 235–243

    Article  PubMed  CAS  Google Scholar 

  20. Chrysikopoulos H, Roussakis A, Tsaraklides V, Vassilouthis J (1996) Case Report: sclerotic skeletal haemangiomatosis presenting with spinal cord compression: CT and MRI findings. BrJ Radiol 69: 965–967

    CAS  Google Scholar 

  21. Duprez T, Lokietek W, Clapuyt P, DeMerlier Y, Malghem J, Gadisseux J-F (1998) Multiple aggressive vertebral haemangiomas in an adolescent: a case report. Pediatr Radiol 28: 51–53

    Article  PubMed  CAS  Google Scholar 

  22. Fairbank T (1956) Haemangioma of bone. Practitioner 177: 707–711

    PubMed  CAS  Google Scholar 

  23. Gaston A, Nguyen JP, Djindjian M, LeBras F, Gherardi R, Benhaiem N, Marsault C (1985) Vertebrai haemangioma: CT and arteriographic features in three cases. J Neuroradiol 12: 21–33

    PubMed  CAS  Google Scholar 

  24. Ghormley RK, Adson AW (1941) Hemangioma of vertebrae. J Bone Joint Surg 23: 887–895

    Google Scholar 

  25. Govender S, Charles RW, Kelman IE (1987) Vertebrai haemangiomas: a report of 2 cases. South Afr Med J 72: 640–642

    CAS  Google Scholar 

  26. Gourie-Devi M, Prakash B (1978) Vertebrai and epidural hemangioma with paraplegia in Klippel-Trenaunay-Weber syndrome. J Neurosurg 48: 814–817

    PubMed  CAS  Google Scholar 

  27. Graham JJ, Yang WC (1984) Vertebrai hemangioma with compression fracture and paraparesis treated with preoperative embolisation and vertebrai resection. Spine 9: 97–101

    Article  PubMed  CAS  Google Scholar 

  28. Greenspan A, Klein MJ, Bennett AJ, Lewis MM, Neuwirth M, Camins MB (1983) Case report 242. Skeletal Radiol 10:183–188

    Article  PubMed  CAS  Google Scholar 

  29. Guthkelch AN (1948) Haemangiomas involving the spinal epidural Space. J Neurol Neurosurg Psychiatry 11:199–210

    Article  PubMed  CAS  Google Scholar 

  30. Healy M, Herz DA, Pearl L (1983) Spinal hemangiomas. Neurosurgery 13: 689–691

    Article  PubMed  CAS  Google Scholar 

  31. Hoefnagel D, Wegner W (1961) Vertebrai hemangioma with spinal cord compression. Am J Dis Child 102: 95–100

    Google Scholar 

  32. Holta O (1942) Hemangioma of the cervical vertebra with fracture and compression myelomalacia. Acta Radiol 23: 423–430

    Article  Google Scholar 

  33. Kosary IZ, Braham J, Shacked I, Shacke R (1977) Spinal epidural hematoma due to hemangioma of vertebra. Surg Neurol 7: 61–62

    PubMed  CAS  Google Scholar 

  34. Krueger EG, Sobel GL, Weinstein C (1961) Vertebral hemangioma with compression of the spinal cord. J Neurosurg 18: 331–338

    Article  PubMed  CAS  Google Scholar 

  35. Leehey P, Naseem M, Every P, Russell E, Sarwar M (1986) Vertebrai hemangioma with compression myelopathy: metrizamide CT demonstration. J Comput Assist Tomogr 9: 985–986

    Google Scholar 

  36. Liu C-L, Yang D-J (1988) Paraplegia due to vertebral hemangioma during pregnancy. A case report. Spine 13:107–108

    CAS  Google Scholar 

  37. Manning HJ (1951) Symptomatic hemangioma of the spine. Radiology 56: 58–65

    PubMed  CAS  Google Scholar 

  38. Marymont JV, Shapiro WM (1988) Vertebrai hemangioma associated with spinal cord compression. South Med J 12: 1586–1587

    Google Scholar 

  39. Mohan V, Gupta SK, Tuli SM, Sanyal B (1980) Symptomatic vertebral haemangiomas. Clin Radiol 31: 575–579

    Article  PubMed  CAS  Google Scholar 

  40. Moreno AJ, Reeves TA, Turnbull GL (1988) Hemangioma of bone. Clin Nucl Med 13: 768–769

    Article  PubMed  CAS  Google Scholar 

  41. Newquist RE, Mayfield FH (1960) Spinal angioma presenting during pregnancy. J Neurosurg 17: 541–545

    PubMed  CAS  Google Scholar 

  42. Newmark J, Jones HR, Thomas CB, Aretz HT, Freiberg SR, Baker RA (1991) Vertebral haemangioma causing acute recurrent spinal cord compression. J Neurol Neurosurg Psychiatry 54: 471

    Article  PubMed  CAS  Google Scholar 

  43. Ng VWK, Clifton A, Moore AJ (1997) Preoperative endovascular embolisation of a vertebral haemangioma. J Bone Joint Surg 5:808–811

    Article  Google Scholar 

  44. Nguyen JP, Djindjian M, Gaston A, Gherardi R, Benhaiem N, Caron JP, Poirier J (1987) Vertebral hemangiomas presenting with neurologic Symptoms. Surg Neurol 27: 391–397

    Article  PubMed  CAS  Google Scholar 

  45. Redekop GJ, Del Maestro RF (1992) Vertebral hemangioma causing spinal cord compression during pregnancy. Surg Neurol 38: 210–215

    Article  PubMed  CAS  Google Scholar 

  46. Robbins LR, Fountain EM (1958) Hemangioma of cervical vertebras with spinal-cord compression. N Engl J Med 258: 685–687

    PubMed  CAS  Google Scholar 

  47. Salamon O, Freilich MD (1988) Calcified hemangioma of the spinal canal: unusual CT and MR presentation. Am J Neuroradiol 9:799–802

    PubMed  CAS  Google Scholar 

  48. Schlezinger NS, Ungar H (1939) Hemangioma of the vertebra with compression myelopathy. Am J Roentgenol 42: 2

    Google Scholar 

  49. Schwartz DA, Nair S, Hershey B, Winkelman AC, Finkelstein SD (1989) Vertebral arch hemangioma producing spinal cord compression in pregnancy. Spine 14: 888–890

    Article  PubMed  CAS  Google Scholar 

  50. ter Spill HW, Tjissen CC (1989) Spinal epidural hematoma due to a vertebro-epidural hemangioma. Clin Neurol Neurosurg 91: 91–93

    Article  PubMed  Google Scholar 

  51. Tekkok IH, Acikgoz B, Saglam S, Onol B (1993) Vertebral hemangioma symptomatic during pregnancy: report of a case and review of the literature. Neurosurgery 32: 302–306

    Article  PubMed  CAS  Google Scholar 

  52. Varghese R, Raghuveer CV, George P, Lobo FD (1998) Vertebral haemangioma causing acute spinal cord compression: a report of 2 cases. J Indian Med Assoc 96: 63–64

    PubMed  CAS  Google Scholar 

  53. Yamada K, Whitbeck MG, Numagichi Y, Shrier DA, Tanaka H (1997) Symptomatic vertebral hemangioma: atypical spoke-wheel trabeculation pattern. Radiat Med 15: 239–241

    PubMed  CAS  Google Scholar 

  54. Yamato M, Hryshko FD (1988) MRI of a vertebral hemangioma causing myelopathy. Nippon Igaku Hoshanen Gakkai Zasshi 48:119–123

    CAS  Google Scholar 

  55. Yazici M, lyigun OL, Gulman B, Rakunt C, Cizmeli O (1996) Vertebral hemangioma presenting with intermittent claudication. Eur Spine J 5:131–133

    Article  PubMed  CAS  Google Scholar 

  56. Yochum TR, Lile RL, Schultz GD, Mick TJ, Brown CW (1993) Acquired spinal Stenosis secondary to an expanding thoracic vertebral hemangioma. Spine 18: 299–305

    Article  PubMed  CAS  Google Scholar 

  57. Yung BC-K, Loke TK-L, Yuen NW-F, Chan CC (1998) Spinal cord compression caused by thoracic vertebral hemangioma involving only the posterior elements of two contiguous vertebrae. Skeletal Radiol 27:169–172

    Article  PubMed  CAS  Google Scholar 

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  1. J. J. Cross

    Present address: , 4 Coombe Hill Glade, Beverley Lane, KT2 7EF, Kingston, Surrey, UK

Authors and Affiliations

  1. Departments of Radiology, Neurosurgery and Neuropathology, Addenbrooke’s Hospital, Hills Road, CB2 2QQ, Cambridge, UK

    J. J. Cross, N. M. Antoun, R. J. C. Laing & J. Xuereb

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Cross, J.J., Antoun, N.M., Laing, R.J.C. et al. Imaging of compressive vertebral haemangiomas. Eur. Radiol. 10, 997–1002 (2000). https://doi.org/10.1007/s003300051051

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  • DOI: https://doi.org/10.1007/s003300051051

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