Percutaneous ethanolamine oleate sclerotherapy for aggressive vertebral hemangioma: A case report

Masayuki Endo, MD, PhD; Shuichi Yamamoto, MD, PhD; Shinsaku Yata, MD, PhD; Shohei Takasugi, MD, PhD; Kazumichi Tsukamoto, MD, PhD; Jun Makishima, MD; Yuji Kamata, MD; Misato Kishimoto, MD; Kentaro Shinano, MD; Shinya Fujii, MD, PhD; Yasufumi Ohuchi, MD, PhD; Shinji Tanishima, MD, PhD

Radiology Case Reports (Sep 2023)

Percutaneous ethanolamine oleate sclerotherapy for aggressive vertebral hemangioma: A case report

Masayuki Endo, MD, PhD,
Shuichi Yamamoto, MD, PhD,
Shinsaku Yata, MD, PhD,
Shohei Takasugi, MD, PhD,
Kazumichi Tsukamoto, MD, PhD,
Jun Makishima, MD,
Yuji Kamata, MD,
Misato Kishimoto, MD,
Kentaro Shinano, MD,
Shinya Fujii, MD, PhD,
Yasufumi Ohuchi, MD, PhD,
Shinji Tanishima, MD, PhD

Affiliations

Masayuki Endo, MD, PhD: Division of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 36-1 Nishi-cho, Yonago Tottori 683-0854 Japan; Corresponding author.
Shuichi Yamamoto, MD, PhD: Division of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 36-1 Nishi-cho, Yonago Tottori 683-0854 Japan
Shinsaku Yata, MD, PhD: Division of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 36-1 Nishi-cho, Yonago Tottori 683-0854 Japan
Shohei Takasugi, MD, PhD: Division of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 36-1 Nishi-cho, Yonago Tottori 683-0854 Japan
Kazumichi Tsukamoto, MD, PhD: Division of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 36-1 Nishi-cho, Yonago Tottori 683-0854 Japan
Jun Makishima, MD: Division of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 36-1 Nishi-cho, Yonago Tottori 683-0854 Japan
Yuji Kamata, MD: Department of Radiology, Matsue Red Cross Hospital, 200 Horomachi, Matsue, Shimane, Japan
Misato Kishimoto, MD: Division of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 36-1 Nishi-cho, Yonago Tottori 683-0854 Japan
Kentaro Shinano, MD: Division of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 36-1 Nishi-cho, Yonago Tottori 683-0854 Japan
Shinya Fujii, MD, PhD: Division of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 36-1 Nishi-cho, Yonago Tottori 683-0854 Japan
Yasufumi Ohuchi, MD, PhD: Department of Radiology, Matsue Red Cross Hospital, 200 Horomachi, Matsue, Shimane, Japan
Shinji Tanishima, MD, PhD: Division of Orthopedic Surgery, Department of Sensory of Motor Organs, School of Medicine, Faculty of Medicine, Tottori University, Yonago Tottori, Japan

Journal volume & issue: Vol. 18, no. 9
pp. 2971 – 2974

Abstract

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Vertebral hemangiomas are the most common benign lesion of the spine which are often an asymptomatic incidental finding. However, a few hemangiomas are aggressive and characterized by bone expansion and extraosseous extension into the paraspinal and epidural spaces. We report the case of a patient presenting an aggressive vertebral hemangioma causing back pain and bilateral numbness of the legs. Among various treatment modalities, a minimally invasive percutaneous sclerotherapy procedure using ethanolamine oleate under computed tomography and fluoroscopic guidance was safely and successfully performed with good clinical outcomes.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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