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Age / Sex : 69 / M
Chief complaints : 허리통증. 힘이 빠지고 저리고 양 발바닥이 유리 박힌 듯이 아프다. 왼쪽이 더 심함.
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Courtesy : 정혜원 (Hye Won, Chung), 서울아산병원 (Asan Medical Center)
Diagnosis: aggressive vertebral hemangioma with ED extension
Discussion
Findings
Elongated T2 high signal and enhancing lesion at left side of epidural space at the level of T7-L1 with left paravertebral extension (arrows on axial images) along the neural foramen, resulting in right side deviation of thecal sac and cord compression
Multiple vertebral body hemangiomas at T8-L1 ==> R/O vertebral body hemangiomas with epidural extension
Pathological finding after ED mass excision: cavernous hemangioma
References
1. 근골격영상의학 2판, Chapter 29. 척추종양 p1060~1061
2. Imaging features and atypical signs of symptomatic vertebral haemangioma: a retrospective single-centre analysis of 118 patients. Zhang L, Wang B, Han S, et al. Br J Radiol. 2021 May 1;94(1121):20201250
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