An aggressive vertebral hemangioma in pregnancy: a case report

J Med Case Rep. 2014 Jun 18;8:207. doi: 10.1186/1752-1947-8-207.

Abstract

Introduction: Pregnancy-related compressive myelopathy secondary to vertebral hemangioma is a rare occurrence and its treatment antepartum is rare.

Case presentation: A 19-year-old North African woman in her 38th week of pregnancy presented with paraplegia that progressed within 2 days after a rapidly progressive weakness of her lower limbs. Magnetic resonance imaging studies showed compression of her spinal cord in front of the fourth thoracic vertebra for suspected tuberculous spondylitis. A Caesarean section was done followed by corpectomy with a bone graft because we intraoperatively discovered a vertebral hemangioma. Pathology showed an aggressive hemangioma.

Conclusion: At any term of pregnancy, extensive neurological involvement which is rapidly progressive due to compression should be considered for immediate decompression.

Publication types

  • Case Reports

MeSH terms

  • Cesarean Section
  • Decompression, Surgical
  • Female
  • Hemangioma / complications
  • Hemangioma / diagnosis*
  • Hemangioma / surgery
  • Humans
  • Magnetic Resonance Imaging
  • Pregnancy
  • Pregnancy Complications, Neoplastic / diagnosis*
  • Pregnancy Complications, Neoplastic / surgery
  • Pregnancy Trimester, Third
  • Spinal Cord Compression / diagnosis*
  • Spinal Cord Compression / etiology
  • Spinal Cord Compression / surgery
  • Spinal Neoplasms / complications
  • Spinal Neoplasms / diagnosis*
  • Spinal Neoplasms / surgery
  • Thoracic Vertebrae / pathology*
  • Thoracic Vertebrae / surgery
  • Young Adult