Vertebral hemangiomas are relatively common abnormalities. Theyhave been found in 10.7 percent of spines at autopsy and in14.2 percent of people over the age of 60 years1. However, neurologicsymptoms, which result from epidural compression of the spinalcord by the hemangioma, hypertrophied bone, epidural hemorrhage,or compression fracture, are uncommon2,3. Current treatmentsfor symptomatic vertebral hemangioma include surgery, radiotherapy,and transarterial embolization4. Surgical treatment is oftenassociated with profuse hemorrhage, incomplete resection, andlengthy convalescence5,6,7. Although radiotherapy is moderatelyeffective, its effects on the hemangioma are delayed, and thereis a risk of . . . [Full Text of this Article]
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From the Surgical Neurology Branch, National Institute of Neurological Disorders and Stroke (J.D.H., E.H.O.), and the Department of Radiology, Warren B. Magnuson Clinical Center (J.L.D.), National Institutes of Health, Bethesda, Md.
Address reprint requests to Dr. Heiss at the Surgical Neurology Branch, National Institutes of Health, Bldg. 10, Rm. 5D-37, 9000 Rockville Pike, Bethesda, MD 20892.
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