Acute compressive myelopathy due to vertebral haemangioma

Mohamed Macki, Mohamad Bydon, Paul Kaloostian, Ali Bydon

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A 47-year-old woman with a history of anaemia presented to the emergency room with an acute onset of leg weakness. Physical examination of the bilateral lower extremities was significant for 0/5 muscle strength in all muscle groups with decreased pinprick and temperature sensation. A sensory level at the umbilicus was appreciated. Fine touch and proprioception were preserved. Bowel and bladder function were intact. CT revealed several thoracic, vertebral haemangiomatas. An MRI was suggestive of an epidural clot at the T8-T10-weighted posterior epidural space. At the level of the lesion, the cerebrospinal fluid space was completely effaced, and the flattened spinal cord exhibited signs of oedema and compressive myelopathy. The patient immediately underwent surgical decompression of the spinal cord. An epidural clot and vessel conglomeration were identified. A postoperative spinal angiogram confirmed the diagnosis of vertebral haemangioma. At 1-month follow-up, the patient regained strength and sensation.

Original languageEnglish (US)
JournalBMJ Case Reports
Volume2014
DOIs
StatePublished - 2014
Externally publishedYes

Fingerprint

Spinal Cord Compression
Hemangioma
Spinal Cord
Umbilicus
Epidural Space
Surgical Decompression
Proprioception
Touch
Muscle Strength
Physical Examination
Cerebrospinal Fluid
Hospital Emergency Service
Anemia
Lower Extremity
Edema
Leg
Angiography
Urinary Bladder
Thorax
Muscles

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Acute compressive myelopathy due to vertebral haemangioma. / Macki, Mohamed; Bydon, Mohamad; Kaloostian, Paul; Bydon, Ali.

In: BMJ Case Reports, Vol. 2014, 2014.

Research output: Contribution to journalArticle

Macki, Mohamed ; Bydon, Mohamad ; Kaloostian, Paul ; Bydon, Ali. / Acute compressive myelopathy due to vertebral haemangioma. In: BMJ Case Reports. 2014 ; Vol. 2014.
@article{184e201e16cd48fe8d761f29009f2bbc,
title = "Acute compressive myelopathy due to vertebral haemangioma",
abstract = "A 47-year-old woman with a history of anaemia presented to the emergency room with an acute onset of leg weakness. Physical examination of the bilateral lower extremities was significant for 0/5 muscle strength in all muscle groups with decreased pinprick and temperature sensation. A sensory level at the umbilicus was appreciated. Fine touch and proprioception were preserved. Bowel and bladder function were intact. CT revealed several thoracic, vertebral haemangiomatas. An MRI was suggestive of an epidural clot at the T8-T10-weighted posterior epidural space. At the level of the lesion, the cerebrospinal fluid space was completely effaced, and the flattened spinal cord exhibited signs of oedema and compressive myelopathy. The patient immediately underwent surgical decompression of the spinal cord. An epidural clot and vessel conglomeration were identified. A postoperative spinal angiogram confirmed the diagnosis of vertebral haemangioma. At 1-month follow-up, the patient regained strength and sensation.",
author = "Mohamed Macki and Mohamad Bydon and Paul Kaloostian and Ali Bydon",
year = "2014",
doi = "10.1136/bcr-2013-200408",
language = "English (US)",
volume = "2014",
journal = "BMJ Case Reports",
issn = "1757-790X",
publisher = "BMJ Publishing Group",

}

TY - JOUR

T1 - Acute compressive myelopathy due to vertebral haemangioma

AU - Macki, Mohamed

AU - Bydon, Mohamad

AU - Kaloostian, Paul

AU - Bydon, Ali

PY - 2014

Y1 - 2014

N2 - A 47-year-old woman with a history of anaemia presented to the emergency room with an acute onset of leg weakness. Physical examination of the bilateral lower extremities was significant for 0/5 muscle strength in all muscle groups with decreased pinprick and temperature sensation. A sensory level at the umbilicus was appreciated. Fine touch and proprioception were preserved. Bowel and bladder function were intact. CT revealed several thoracic, vertebral haemangiomatas. An MRI was suggestive of an epidural clot at the T8-T10-weighted posterior epidural space. At the level of the lesion, the cerebrospinal fluid space was completely effaced, and the flattened spinal cord exhibited signs of oedema and compressive myelopathy. The patient immediately underwent surgical decompression of the spinal cord. An epidural clot and vessel conglomeration were identified. A postoperative spinal angiogram confirmed the diagnosis of vertebral haemangioma. At 1-month follow-up, the patient regained strength and sensation.

AB - A 47-year-old woman with a history of anaemia presented to the emergency room with an acute onset of leg weakness. Physical examination of the bilateral lower extremities was significant for 0/5 muscle strength in all muscle groups with decreased pinprick and temperature sensation. A sensory level at the umbilicus was appreciated. Fine touch and proprioception were preserved. Bowel and bladder function were intact. CT revealed several thoracic, vertebral haemangiomatas. An MRI was suggestive of an epidural clot at the T8-T10-weighted posterior epidural space. At the level of the lesion, the cerebrospinal fluid space was completely effaced, and the flattened spinal cord exhibited signs of oedema and compressive myelopathy. The patient immediately underwent surgical decompression of the spinal cord. An epidural clot and vessel conglomeration were identified. A postoperative spinal angiogram confirmed the diagnosis of vertebral haemangioma. At 1-month follow-up, the patient regained strength and sensation.

UR - http://www.scopus.com/inward/record.url?scp=84921434990&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84921434990&partnerID=8YFLogxK

U2 - 10.1136/bcr-2013-200408

DO - 10.1136/bcr-2013-200408

M3 - Article

C2 - 24777075

AN - SCOPUS:84899685991

VL - 2014

JO - BMJ Case Reports

JF - BMJ Case Reports

SN - 1757-790X

ER -