Clinical and radiographic response of a paravertebral hemangioma to radiotherapy

Laura Burgess, MSc, MD; Julia Malone, BSc; Marlise P. dos Santos, MSc,MPH, MD; John Sinclair, MD; Osbert Zalay, MD, PhD; Shawn Malone, MD

Radiology Case Reports (Mar 2024)

Clinical and radiographic response of a paravertebral hemangioma to radiotherapy

Laura Burgess, MSc, MD,
Julia Malone, BSc,
Marlise P. dos Santos, MSc,MPH, MD,
John Sinclair, MD,
Osbert Zalay, MD, PhD,
Shawn Malone, MD

Affiliations

Laura Burgess, MSc, MD: Department of Radiology, Division of Radiation Oncology, University of Ottawa, Ottawa, Ontario, Canada; Department of Radiology, Division of Radiation Oncology, The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
Julia Malone, BSc: Department of Radiology, Division of Radiation Oncology, University of Ottawa, Ottawa, Ontario, Canada; Department of Radiology, Division of Radiation Oncology, The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
Marlise P. dos Santos, MSc,MPH, MD: Department of Radiology, Radiation Oncology and Medical Physics, Section of Neuroradiology, University of Ottawa, Ottawa, Ontario, Canada; Department of Surgery Divisions of Neurosurgery and Interventional Neuroradiology, The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada; Brain and Mind Research Institute, University of Ottawa, Ottawa, Ontario, Canada
John Sinclair, MD: Department of Surgery, Division of Neurosurgery, University of Ottawa, Ottawa, Ontario, Canada
Osbert Zalay, MD, PhD: Department of Radiology, Division of Radiation Oncology, University of Ottawa, Ottawa, Ontario, Canada; Department of Radiology, Division of Radiation Oncology, The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
Shawn Malone, MD: Department of Radiology, Division of Radiation Oncology, University of Ottawa, Ottawa, Ontario, Canada; Department of Radiology, Division of Radiation Oncology, The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada; Corresponding author.

Journal volume & issue: Vol. 19, no. 3
pp. 988 – 993

Abstract

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Hemangiomas can arise anywhere in the body. While vertebral hemangiomas are common, atypical hemangiomas with paraspinal and epidural extension are rare. We present a case of a patient who presented with persistent cough and anorexia from a paravertebral hemangioma that invaded the adjacent vertebrae and neural foramen causing moderate spinal canal stenosis. She was treated with stereotactic body radiotherapy to prevent the development of symptomatic spinal cord compression. The hemangioma underwent significant shrinkage and her cough resolved. This case demonstrates impressive and sustained clinical and radiographic response of a paraspinal hemangioma to stereotactic body radiotherapy.

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: http://www.journals.elsevier.com/radiology-case-reports/

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