Annals of Indian Academy of Neurology
CASE REPORT
Year
: 2014  |  Volume : 17  |  Issue : 1  |  Page : 120--122

Pregnancy related symptomatic vertebral hemangioma


Meena Gupta1, Rajeev Nayak1, Hukum Singh2, Geeta Khwaja1, Debashish Chowdhury1 
1 Department of Neurology, GB Pant Hospital, New Delhi, India
2 Department of Neurosurgery, GB Pant Hospital, New Delhi, India

Correspondence Address:
Rajeev Nayak
Department of Neurology, GB Pant Hospital, JLN Marg, New Delhi - 110 002
India

Vertebral hemangiomas are benign vascular tumors of the spine that remain asymptomatic in most cases and incidentally encountered on imaging. Rarely, altered hemodynamic and hormonal changes during pregnancy may expand these benign lesions resulting in severe cord compression. The management of symptomatic vertebral hemangioma during pregnancy is controversial as modalities like radiotherapy and embolization are not suitable and surgery during pregnancy has a risk of preterm labor. Few cases of pregnancy related symptomatic vertebral hemangioma with marked epidural component have been reported in the literature. We report a case of 23-year-old primigravida who developed rapidly progressive paraparesis at 28 weeks of gestation and spine magnetic resonance imaging (MRI) revealed upper thoracic vertebral hemangioma with extensive extra-osseous extension and spinal cord compression. Laminectomy and surgical decompression of the cord was performed at 32 weeks of the pregnancy. There was significant improvement in muscle power after a week of surgery. Six weeks postoperatively she delivered a full term normal baby with subsequent improvement of neurologic deficit. Repeat MRI of dorsal spine performed at 3 months postoperatively showed reduced posterior and anterior epidural components of vertebral hemangioma.


How to cite this article:
Gupta M, Nayak R, Singh H, Khwaja G, Chowdhury D. Pregnancy related symptomatic vertebral hemangioma.Ann Indian Acad Neurol 2014;17:120-122


How to cite this URL:
Gupta M, Nayak R, Singh H, Khwaja G, Chowdhury D. Pregnancy related symptomatic vertebral hemangioma. Ann Indian Acad Neurol [serial online] 2014 [cited 2021 Apr 13 ];17:120-122
Available from: https://www.annalsofian.org/article.asp?issn=0972-2327;year=2014;volume=17;issue=1;spage=120;epage=122;aulast=Gupta;type=0