Vertebral hemangiomas are the most common benign tumors of the spine and occur in approximately 10-12% of the general population. Pregnancy related symptomatic vertebral hemangioma.
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How to cite this URL: Gupta M, Nayak R, Singh H, Khwaja G, Chowdhury D. How to cite this article: Gupta M, Nayak R, Singh H, Khwaja G, Chowdhury D. Keywords: Epidural extension, laminectomy, pregnancy, spinal cord compression, vertebral hemangioma
Repeat MRI of dorsal spine performed at 3 months postoperatively showed reduced posterior and anterior epidural components of vertebral hemangioma. Six weeks postoperatively she delivered a full term normal baby with subsequent improvement of neurologic deficit. There was significant improvement in muscle power after a week of surgery. Laminectomy and surgical decompression of the cord was performed at 32 weeks of the pregnancy. We report a case of 23-year-old primigravida who developed rapidly progressive paraparesis at 28 weeks of gestation and spine magnetic resonance imaging (MRI) revealed upper thoracic vertebral hemangioma with extensive extra-osseous extension and spinal cord compression. Few cases of pregnancy related symptomatic vertebral hemangioma with marked epidural component have been reported in the literature. The management of symptomatic vertebral hemangioma during pregnancy is controversial as modalities like radiotherapy and embolization are not suitable and surgery during pregnancy has a risk of preterm labor. Rarely, altered hemodynamic and hormonal changes during pregnancy may expand these benign lesions resulting in severe cord compression.
Vertebral hemangiomas are benign vascular tumors of the spine that remain asymptomatic in most cases and incidentally encountered on imaging.
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