IS Case 320: Spine hemangioma with extraosseous extension
Imaging Sciences URMC 2009
Publication Date: 2009-09-14
Imaging Findings: See below.
While hemangiomas in the spine are usually asymptomatic, they can cause symptoms. The hemangiomas with extraosseous extension are more likely to cause neurologic problems. Other hemangiomas which are symptomatic are associated with vertebral body collapse.
CT: Fine or coarse trabeculations.
MRI: Hyperintensity on T1 and T2 usually due to the fatty content. More vascular hemangiomas may have lower intensity on T1 weighted images. If there is an extraosseous component, it may have intermediate intensity on T1. +contrast enhancement
Due to neurologic symptoms, the patient in this case received radiation with resultant decrease in mass effect from hemangioma.
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