Dorsal Spine Extradural Hemangioma with Neurodeficit, Mistaken Pott’s Paraplegia: A Case Report

Amit Awachat; Kumar Shetty; Vikas Gupte; Shrinivas Prabhu

doi:10.18502/jost.v11i1.18014

Amit Awachat Clinical Spine Fellow, Fortis Hospital, Mulund, Mumbai, India
Kumar Shetty Consultant Spine Surgeon, Fortis Hospital, Mulund, Mumbai, India
Vikas Gupte Senior Consultant Spine Surgeon, Fortis Hospital, Mulund, Mumbai, India
Shrinivas Prabhu Assistant Professor, MGM Institute of Medical Science, Kamothe, Navi Mumbai, India

DOI: https://doi.org/10.18502/jost.v11i1.18014

Keywords: Hemangioma; Vertebral Body; Spinal Cord Compression; Pott’s Paraplegia

Abstract

Background: Vertebral hemangiomas are the most common primary vertebral tumor of the spine, usually with vascular origin (capillary and venous malformations), and are detected incidentally in most cases. The occurrence of vertebral hemangiomas is more common in women than men and is more symptomatic in the fourth decade of life. The exact etiology is not well understood. An increase in daily living activity leads to vertebral hemangioma becoming painful. The proliferation of hemangiomas causes erosion of bone and, in some cases, causes encroachment into the spinal canal.

Case Report: We present a case of a 37-year-old man with gradually progressive paraplegia and a D2 level infiltrative mass causing compression on the spinal cord.

Conclusion: A patient with vertebral hemangioma with spinal cord compression, if diagnosed correctly and treated early with surgical intervention, results in a good prognostic outcome.