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KMID : 1099620090060030192
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Korean Journal of Spine
2009 Volume.6 No. 3 p.192 ~ p.196
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A Case of an Epidural Extension of Vertebral Hemangioma Treated by Intraoperative Vertebroplasty and Laminectomy
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Lee Soo-Eon
Moon Kyung-Yun
Jahng Tae-Ahn
Chung Chun-Kee
Kim Hyun-Jib
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Abstract
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Vertebral hemangioma is relatively common, but rarely extends into the epidural space and causes neurological deficits. This case report describes a 69-year-old woman with vertebral hemangioma extending into the epidural space causing spinal cord compression. The patient presented with low back pain and progressive weakness of the left lower extremity over a period of 1 year. Radiologic findings revealed a dural encasing vertebral hemangioma with spinal cord compression at the T11 level. After T11 vertebroplasty, the lesion was subtotally removed by T10-11 total laminectomy. The patient regained motor power of the left lower extremity postoperatively. And no further tumor growth was observed at last follow-up. This combination of intraoperative vertebroplasty and decompressive laminectomy offers a viable treatment modality for a dural encasing vertebral hemangioma with epidural extension causing cord compression.
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KEYWORD
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Vertebral hemangioma, Spinal cord compression, Vertebroplasty
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