Percutaneous ethanolamine oleate sclerotherapy for aggressive vertebral hemangioma: A case report

Vertebral hemangiomas are the most common benign lesion of the spine which are often an asymptomatic incidental finding. However, a few hemangiomas are aggressive and characterized by bone expansion and extraosseous extension into the paraspinal and epidural spaces. We report the case of a patient p...

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Published in:Radiology Case Reports
Main Authors: Masayuki Endo, MD, PhD, Shuichi Yamamoto, MD, PhD, Shinsaku Yata, MD, PhD, Shohei Takasugi, MD, PhD, Kazumichi Tsukamoto, MD, PhD, Jun Makishima, MD, Yuji Kamata, MD, Misato Kishimoto, MD, Kentaro Shinano, MD, Shinya Fujii, MD, PhD, Yasufumi Ohuchi, MD, PhD, Shinji Tanishima, MD, PhD
Format: Article
Language:English
Published: Elsevier 2023-09-01
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323003886
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author Masayuki Endo, MD, PhD
Shuichi Yamamoto, MD, PhD
Shinsaku Yata, MD, PhD
Shohei Takasugi, MD, PhD
Kazumichi Tsukamoto, MD, PhD
Jun Makishima, MD
Yuji Kamata, MD
Misato Kishimoto, MD
Kentaro Shinano, MD
Shinya Fujii, MD, PhD
Yasufumi Ohuchi, MD, PhD
Shinji Tanishima, MD, PhD
author_facet Masayuki Endo, MD, PhD
Shuichi Yamamoto, MD, PhD
Shinsaku Yata, MD, PhD
Shohei Takasugi, MD, PhD
Kazumichi Tsukamoto, MD, PhD
Jun Makishima, MD
Yuji Kamata, MD
Misato Kishimoto, MD
Kentaro Shinano, MD
Shinya Fujii, MD, PhD
Yasufumi Ohuchi, MD, PhD
Shinji Tanishima, MD, PhD
author_sort Masayuki Endo, MD, PhD
collection DOAJ
container_title Radiology Case Reports
description Vertebral hemangiomas are the most common benign lesion of the spine which are often an asymptomatic incidental finding. However, a few hemangiomas are aggressive and characterized by bone expansion and extraosseous extension into the paraspinal and epidural spaces. We report the case of a patient presenting an aggressive vertebral hemangioma causing back pain and bilateral numbness of the legs. Among various treatment modalities, a minimally invasive percutaneous sclerotherapy procedure using ethanolamine oleate under computed tomography and fluoroscopic guidance was safely and successfully performed with good clinical outcomes.
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spelling doaj-art-59f32c92b02a451ea300f927240c2c8a2025-08-19T23:25:13ZengElsevierRadiology Case Reports1930-04332023-09-011892971297410.1016/j.radcr.2023.06.017Percutaneous ethanolamine oleate sclerotherapy for aggressive vertebral hemangioma: A case reportMasayuki Endo, MD, PhD0Shuichi Yamamoto, MD, PhD1Shinsaku Yata, MD, PhD2Shohei Takasugi, MD, PhD3Kazumichi Tsukamoto, MD, PhD4Jun Makishima, MD5Yuji Kamata, MD6Misato Kishimoto, MD7Kentaro Shinano, MD8Shinya Fujii, MD, PhD9Yasufumi Ohuchi, MD, PhD10Shinji Tanishima, MD, PhD11Division of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 36-1 Nishi-cho, Yonago Tottori 683-0854 Japan; Corresponding author.Division of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 36-1 Nishi-cho, Yonago Tottori 683-0854 JapanDivision of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 36-1 Nishi-cho, Yonago Tottori 683-0854 JapanDivision of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 36-1 Nishi-cho, Yonago Tottori 683-0854 JapanDivision of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 36-1 Nishi-cho, Yonago Tottori 683-0854 JapanDivision of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 36-1 Nishi-cho, Yonago Tottori 683-0854 JapanDepartment of Radiology, Matsue Red Cross Hospital, 200 Horomachi, Matsue, Shimane, JapanDivision of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 36-1 Nishi-cho, Yonago Tottori 683-0854 JapanDivision of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 36-1 Nishi-cho, Yonago Tottori 683-0854 JapanDivision of Radiology, Department of Multidisciplinary Internal Medicine, Tottori University, 36-1 Nishi-cho, Yonago Tottori 683-0854 JapanDepartment of Radiology, Matsue Red Cross Hospital, 200 Horomachi, Matsue, Shimane, JapanDivision of Orthopedic Surgery, Department of Sensory of Motor Organs, School of Medicine, Faculty of Medicine, Tottori University, Yonago Tottori, JapanVertebral hemangiomas are the most common benign lesion of the spine which are often an asymptomatic incidental finding. However, a few hemangiomas are aggressive and characterized by bone expansion and extraosseous extension into the paraspinal and epidural spaces. We report the case of a patient presenting an aggressive vertebral hemangioma causing back pain and bilateral numbness of the legs. Among various treatment modalities, a minimally invasive percutaneous sclerotherapy procedure using ethanolamine oleate under computed tomography and fluoroscopic guidance was safely and successfully performed with good clinical outcomes.http://www.sciencedirect.com/science/article/pii/S1930043323003886Vertebral hemangiomasPercutaneous ethanolamine oleateSclerotherapy
spellingShingle Masayuki Endo, MD, PhD
Shuichi Yamamoto, MD, PhD
Shinsaku Yata, MD, PhD
Shohei Takasugi, MD, PhD
Kazumichi Tsukamoto, MD, PhD
Jun Makishima, MD
Yuji Kamata, MD
Misato Kishimoto, MD
Kentaro Shinano, MD
Shinya Fujii, MD, PhD
Yasufumi Ohuchi, MD, PhD
Shinji Tanishima, MD, PhD
Percutaneous ethanolamine oleate sclerotherapy for aggressive vertebral hemangioma: A case report
Vertebral hemangiomas
Percutaneous ethanolamine oleate
Sclerotherapy
title Percutaneous ethanolamine oleate sclerotherapy for aggressive vertebral hemangioma: A case report
title_full Percutaneous ethanolamine oleate sclerotherapy for aggressive vertebral hemangioma: A case report
title_fullStr Percutaneous ethanolamine oleate sclerotherapy for aggressive vertebral hemangioma: A case report
title_full_unstemmed Percutaneous ethanolamine oleate sclerotherapy for aggressive vertebral hemangioma: A case report
title_short Percutaneous ethanolamine oleate sclerotherapy for aggressive vertebral hemangioma: A case report
title_sort percutaneous ethanolamine oleate sclerotherapy for aggressive vertebral hemangioma a case report
topic Vertebral hemangiomas
Percutaneous ethanolamine oleate
Sclerotherapy
url http://www.sciencedirect.com/science/article/pii/S1930043323003886
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