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

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.

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