Vertebral hemangioma

Case contributed by Gaspar Alberto , 30 Aug 2011
Diagnosis almost certain
Changed by Ayla Al Kabbani, 7 Jul 2020

Updates to Case Attributes

Race changed from Hispanic/Latino to .

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Findings was changed:

Bone hemangioma. Incidental finding of a small thoracic vertebral body hemangiomahaemangioma. Note the punctate sclerotic foci, or (polka-dot appearance, whichsign) which is a characteristic finding.

Images Changes:

Image CT (non-contrast) ( update )

Perspective was set to Axial.

Image CT (bone window) ( update )

Perspective was set to Axial.

Image 2 CT (bone window) ( update )

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Vertebral hemangioma is benign vascular tumor composed of vascular channels that are cavernous, capillary, or venous in type. It is most common spinal axis tumor often identified as an incidental finding. Hemangiomas are usually identified in middle-aged patients, particularly those in the fourth and fifth decades of life. Women are affected about twice as frequently as men. Some, however, on rare occasions, vertebral hemangiomas ("aggressive hemangioma") may be accompanied by symptoms and signs of spinal cord compression owing to extension of the lesions into the epidural space, leading to narrowing of the spinal canal.Radiographically, a coarse, vertical trabecular pattern, the corduroy appearance, is identified in the vertebral body. The trabeculae and their vertical orientation differs from the subchondral, horizontally arranged trabecular condensation that typifies Paget's disease (the picture-frame vertebral body) or renal osteodystrophy (the rugger-jersey vertebral body).

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