Naslov
Aggressive verterbral hemangioma as unusual cause of paraparesis – a case from Southeast Europe

Autori
Antonija, Krstačić ; Silva, Butković Soldo ; Goran, Krstačić

Vrsta, podvrsta i kategorija rada
Poglavlja u knjigama, ostalo

Knjiga
Current Researches in Surgery Medical Sciences

Urednik/ci
Goran, Krstačić ; Ahmet Yilmaz

Izdavač
Livre de Lyon

Grad
Lyon

Godina
2019

Raspon stranica
153-158

ISBN
978-2-490773-50-3

Ključne riječi
Aggressive verterbral hemangioma, epithelioid hemangioma, paraparesis

Sažetak
A 65-year-old male patient, with completely normal medical history, came to the our Emergency Department at Clinical Hospital of Traumatology (Zagreb, Republic of Croatia) with symptoms of back pain, bilateral lower- extremity weakness and numbness, with progressive deterioration during the last ten days. He had no fever, headache and bowel/bladder symptoms. In neurological status, we found billateral reduction of quadriceps strength (3/5) and ankle dorsiflexion (2/5). Radiological plain examination revealed a degenerative changes of the thoracic spine and collapse of the 7th thoracal vertebra (Th7). MRI evaluation has shown an avidly enhancing mass within the body and right transverse process of the Th7, with extension into the posterolateral epidural space. The consequent spinal cord compression resulted with myelopathy (Figures 1 and 2). Regarding to the destructive tumor characteristics and clinical picture, our patient had indication for neurosurgery procedure. After preoperative embolization (Figure 3), neurosurgeon performed decompressive Th 6-8 laminectomy, with subsequent resection of the tumor and vertebroplasty. Surgical procedure underwent without complications. Pathohistological diagnosis was epithelioid hemangioma (EH). Before discharge from the hospital, neurological function significantly improved. During 6-month follow-up, our patient had additonal neurological improvement with residual minor spastic haemiparesis.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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