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Posttraumatic Progressive Vertebral Hemangioma Induced by a Fracture
The authors present an extremely rare case of an aggressive and progressive vertebral capillary hemangioma of the lumbar spine secondary to a trauma. A 40-year-old man who complained of back and leg pain due to a hemangioma of L1 that had begun a year after the fracture of the same vertebra was subs...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5496113/ https://www.ncbi.nlm.nih.gov/pubmed/28713608 http://dx.doi.org/10.1155/2017/8280678 |
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author | Kilic, Kaya Unal, Emre Toktas, Zafer Orkun Aker, Fugen Vardar Akakın, Akın Kilic, Türker |
author_facet | Kilic, Kaya Unal, Emre Toktas, Zafer Orkun Aker, Fugen Vardar Akakın, Akın Kilic, Türker |
author_sort | Kilic, Kaya |
collection | PubMed |
description | The authors present an extremely rare case of an aggressive and progressive vertebral capillary hemangioma of the lumbar spine secondary to a trauma. A 40-year-old man who complained of back and leg pain due to a hemangioma of L1 that had begun a year after the fracture of the same vertebra was subsequently operated on. Due to the profuse bleeding, only a subtotal removal was possible. Histopathological diagnosis of the lesion revealed a capillary hemangioma. Postoperative control MRI taken at eight months showed that the lesion and destruction of the L1 vertebra were progressive. A second embolization procedure was performed and this time the hemangioma was totally removed via an anterior approach and corpectomy. Fusion was achieved by Th12-L2 graft and plaque. In the fourteenth year of follow-up, he was symptom-free and radiologically clear of this lesion. We propose that progressive hemangioma is extremely rare and that its cure is possible by total surgical removal of the lesion. This case is the second extradural capillary hemangioma secondary to spinal trauma ever to have been documented in English literature. The emergence of a hemangioma in a fractured vertebra suggests that its pathogenesis can be related to the deviation of the angiogenetic pathways from the normal healing process. |
format | Online Article Text |
id | pubmed-5496113 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-54961132017-07-16 Posttraumatic Progressive Vertebral Hemangioma Induced by a Fracture Kilic, Kaya Unal, Emre Toktas, Zafer Orkun Aker, Fugen Vardar Akakın, Akın Kilic, Türker Case Rep Surg Case Report The authors present an extremely rare case of an aggressive and progressive vertebral capillary hemangioma of the lumbar spine secondary to a trauma. A 40-year-old man who complained of back and leg pain due to a hemangioma of L1 that had begun a year after the fracture of the same vertebra was subsequently operated on. Due to the profuse bleeding, only a subtotal removal was possible. Histopathological diagnosis of the lesion revealed a capillary hemangioma. Postoperative control MRI taken at eight months showed that the lesion and destruction of the L1 vertebra were progressive. A second embolization procedure was performed and this time the hemangioma was totally removed via an anterior approach and corpectomy. Fusion was achieved by Th12-L2 graft and plaque. In the fourteenth year of follow-up, he was symptom-free and radiologically clear of this lesion. We propose that progressive hemangioma is extremely rare and that its cure is possible by total surgical removal of the lesion. This case is the second extradural capillary hemangioma secondary to spinal trauma ever to have been documented in English literature. The emergence of a hemangioma in a fractured vertebra suggests that its pathogenesis can be related to the deviation of the angiogenetic pathways from the normal healing process. Hindawi 2017 2017-06-20 /pmc/articles/PMC5496113/ /pubmed/28713608 http://dx.doi.org/10.1155/2017/8280678 Text en Copyright © 2017 Kaya Kilic et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kilic, Kaya Unal, Emre Toktas, Zafer Orkun Aker, Fugen Vardar Akakın, Akın Kilic, Türker Posttraumatic Progressive Vertebral Hemangioma Induced by a Fracture |
title | Posttraumatic Progressive Vertebral Hemangioma Induced by a Fracture |
title_full | Posttraumatic Progressive Vertebral Hemangioma Induced by a Fracture |
title_fullStr | Posttraumatic Progressive Vertebral Hemangioma Induced by a Fracture |
title_full_unstemmed | Posttraumatic Progressive Vertebral Hemangioma Induced by a Fracture |
title_short | Posttraumatic Progressive Vertebral Hemangioma Induced by a Fracture |
title_sort | posttraumatic progressive vertebral hemangioma induced by a fracture |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5496113/ https://www.ncbi.nlm.nih.gov/pubmed/28713608 http://dx.doi.org/10.1155/2017/8280678 |
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