The Spine Journal 15 (2015) 1888–1889
Cervical hemangioma with neurologic deficit A 59-year-old woman presented to the neurosurgery clinic with right hemiparesis and hemiparesthesia and had no history of surgery or trauma. Magnetic resonance imaging revealed a mass that localized extramedullary and extradural location and compressed spinal cord at C2 level (Fig. 1). The mass was isohypointense on T2-weighted images and isointense on T1 weighted images comparing muscle intensity (Figs. 1 and 2). The mass was also peripherally contrast enhanced (Figs. 1 and 2). Patient was operated, and the mass was diagnosed as hemangioma with pathologic specimen. Vertebral hemangiomas are benign tumors. Generally, they are asymptomatic. They rarely compress spinal cord and cause neurologic deficit [1,2]. Primary treatment method is surgery in symptomatic cases [1,2]. References [1] Jiang L, Liu XG, Yuan HS, Yang SM, Li J, Wei F, et al. Diagnosis and treatment of vertebral hemangiomas with neurologic deficit:
a report of 29 cases and literature review. Spine J 2014;14: 944–54. [2] Hao YJ, Yu L, Zhang Y, Wang LM, Li JZ. Surgical treatment of cervical vertebral hemangioma associated with adjacent cervical spondylotic myelopathy. Spine J 2013;13:1774–9.
Recep Sade, MDa M€urteza C ¸ akır, MDb Hayri Ogul, MDa C ¸ agatay C ¸ alıkoglu, MDb Mecit Kantarci, MD, PhDa a Department of Radiology Medical Faculty Ataturk University Erzurum 25040, Turkey b Department of Neurosurgery Medical Faculty Ataturk University Erzurum 25040, Turkey FDA device/drug status: Not applicable. Author disclosures: RS: Nothing to disclose. MC¸: Nothing to disclose. HO: Nothing to disclose. C¸C¸: Nothing to disclose. MK: Nothing to disclose.
Fig. 1. Axial T2-weighted (T2W) (Right), fat-saturated T1W (Middle), and contrast-enhanced T1W (Left) cervical magnetic resonance images of a 59-yearold woman. The mass was isohypointense on T2W images and isointense on T1W images comparing muscle intensity. The mass compressed spinal cord. Mass was peripherally contrast enhanced and localized extramedullary and extradural location. http://dx.doi.org/10.1016/j.spinee.2015.03.043 1529-9430/Ó 2015 Elsevier Inc. All rights reserved.
R. Sade et al. / The Spine Journal 15 (2015) 1888–1889
1889
Fig. 2. Sagittal T2-weighted (T2W) (Right), fat-saturated T1W (Middle), and contrast-enhanced T1W (Left) cervical magnetic resonance images of a 59year-old woman. The mass was isohypointense on T2W images and isointense on T1W images comparing muscle intensity at C2 level. The mass was peripherally contrast enhanced.
Cervical hemangioma with neurologic deficit A 59-year-old woman presented to the neurosurgery clinic with right hemiparesis and hemiparesthesia and had no history of surgery or trauma. Magnetic resonance imaging revealed a mass that localized extramedullary and extradural location and compressed spinal cord at C2 level (Fig. 1). The mass was isohypointense on T2-weighted images and isointense on T1 weighted images comparing muscle intensity (Figs. 1 and 2). The mass was also peripherally contrast enhanced (Figs. 1 and 2). Patient was operated, and the mass was diagnosed as hemangioma with pathologic specimen. Vertebral hemangiomas are benign tumors. Generally, they are asymptomatic. They rarely compress spinal cord and cause neurologic deficit [1,2]. Primary treatment method is surgery in symptomatic cases [1,2]. References [1] Jiang L, Liu XG, Yuan HS, Yang SM, Li J, Wei F, et al. Diagnosis and treatment of vertebral hemangiomas with neurologic deficit:
a report of 29 cases and literature review. Spine J 2014;14: 944–54. [2] Hao YJ, Yu L, Zhang Y, Wang LM, Li JZ. Surgical treatment of cervical vertebral hemangioma associated with adjacent cervical spondylotic myelopathy. Spine J 2013;13:1774–9.
Recep Sade, MDa M€urteza C ¸ akır, MDb Hayri Ogul, MDa C ¸ agatay C ¸ alıkoglu, MDb Mecit Kantarci, MD, PhDa a Department of Radiology Medical Faculty Ataturk University Erzurum 25040, Turkey b Department of Neurosurgery Medical Faculty Ataturk University Erzurum 25040, Turkey FDA device/drug status: Not applicable. Author disclosures: RS: Nothing to disclose. MC¸: Nothing to disclose. HO: Nothing to disclose. C¸C¸: Nothing to disclose. MK: Nothing to disclose.
Fig. 1. Axial T2-weighted (T2W) (Right), fat-saturated T1W (Middle), and contrast-enhanced T1W (Left) cervical magnetic resonance images of a 59-yearold woman. The mass was isohypointense on T2W images and isointense on T1W images comparing muscle intensity. The mass compressed spinal cord. Mass was peripherally contrast enhanced and localized extramedullary and extradural location. http://dx.doi.org/10.1016/j.spinee.2015.03.043 1529-9430/Ó 2015 Elsevier Inc. All rights reserved.
R. Sade et al. / The Spine Journal 15 (2015) 1888–1889
1889
Fig. 2. Sagittal T2-weighted (T2W) (Right), fat-saturated T1W (Middle), and contrast-enhanced T1W (Left) cervical magnetic resonance images of a 59year-old woman. The mass was isohypointense on T2W images and isointense on T1W images comparing muscle intensity at C2 level. The mass was peripherally contrast enhanced.
