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Vertebral haemangiomas with spinal cord compression: the place of preoperative percutaneous vertebroplasty with methyl methacrylate
Authors:C Ide  A Gangi  A Rimmelin  R Beaujeux  D Maitrot  F Buchhei  F Sellal  J L Dietemann
Institution:(1) Department of Radiology 2, University Hospital of Strasbourg, Hôpital de Hautepierre, Avenue Molière, F 67098 Strasbourg Cedex, France;(2) Department of Radiology, University Hospital of Strasbourg, Avenue Molière, F-67098 Strasbourg Cedex, France;(3) Department of Neurosurgery, University Hospital of Strasbourg, Avenue Molière, F-67098 Strasbourg Cedex, France;(4) Department of Neurology, University Hospital of Strasbourg, Avenue Molière, F-67098 Strasbourg Cedex, France
Abstract:We report one cervical and two thoracic vertebral haemangiomas with neurological disturbance successfully treated by percutaneous vertebroplasty followed by decompression surgery. Vertebroplasty consolidates the vertebral body and reduces the risk of haemorrhage. Subsequent surgery may be limited to decompressive laminectomy and resection of the epidural extension of the haemangioma. Embolisation was also carried out in one case. Complete neuroimaging workup, including CT, myelo-CT and MRI, is necessary prior to treatment.
Keywords:Haemangioma  vertebral  Vertebroplasty
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