Lower-limb progressive paraparesis management and diagnosis overview in a pregnant woman with vertebral haemangioma
Vertebral haemangioma is a benign vascular tumour mostly seen in the thoracic region of the spine. Spinal haemangiomas are usually asymptomatic and are discovered incidentally. In a few patients, however, aggressive vertebral haemangiomas can cause local pain, radicular pain or neurologic deficits,...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-05-01
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| Series: | Women's Health |
| Online Access: | https://doi.org/10.1177/17455057221099018 |
| _version_ | 1811233683057672192 |
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| author | Lívia Ridzoňová Miriam Fedičová Tomaš Andráš Peter Urdzík Zuzana Gdovinová |
| author_facet | Lívia Ridzoňová Miriam Fedičová Tomaš Andráš Peter Urdzík Zuzana Gdovinová |
| author_sort | Lívia Ridzoňová |
| collection | DOAJ |
| description | Vertebral haemangioma is a benign vascular tumour mostly seen in the thoracic region of the spine. Spinal haemangiomas are usually asymptomatic and are discovered incidentally. In a few patients, however, aggressive vertebral haemangiomas can cause local pain, radicular pain or neurologic deficits, which result from neural compression. The aetiology of the origin is unclear and is probably multifactorial. Hormonal and biological changes in pregnant women can lead to accelerated vascular growth of haemangioma. In our report, we present the case of a pregnant patient who was diagnosed with an aggressive vertebral haemangioma that further led to progressive paraparesis. We had to take the fact that she was pregnant into account in the diagnostic procedure, in the choice of examination method and also in the method of therapy. The goal of this case report is threefold: (1) provide an overview of the possible methods of management, specifically imaging, which will aid in diagnosis and based on that, (2) determining the appropriate therapy and (3) review the risks and benefits of each will be presented when choosing individual approaches. |
| first_indexed | 2024-04-12T11:23:48Z |
| format | Article |
| id | doaj.art-d8906b3bafa3480082fab028f3d88428 |
| institution | Directory Open Access Journal |
| issn | 1745-5065 |
| language | English |
| last_indexed | 2024-04-12T11:23:48Z |
| publishDate | 2022-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Women's Health |
| spelling | doaj.art-d8906b3bafa3480082fab028f3d884282022-12-22T03:35:17ZengSAGE PublishingWomen's Health1745-50652022-05-011810.1177/17455057221099018Lower-limb progressive paraparesis management and diagnosis overview in a pregnant woman with vertebral haemangiomaLívia Ridzoňová0Miriam Fedičová1Tomaš Andráš2Peter Urdzík3Zuzana Gdovinová4Department of Neurology, Louis Pasteur University Hospital, Kosice, SlovakiaDepartment of Neurology, Louis Pasteur University Hospital, Kosice, SlovakiaDepartment of Neurosurgery, Louis Pasteur University Hospital, Kosice, SlovakiaDepartment of Gynaecology and Obstetrics, Faculty of Medicine, Pavol Jozef Safarik University in Kosice, Kosice, SlovakiaDepartment of Neurology, Faculty of Medicine, Pavol Jozef Safarik University in Kosice, Kosice, SlovakiaVertebral haemangioma is a benign vascular tumour mostly seen in the thoracic region of the spine. Spinal haemangiomas are usually asymptomatic and are discovered incidentally. In a few patients, however, aggressive vertebral haemangiomas can cause local pain, radicular pain or neurologic deficits, which result from neural compression. The aetiology of the origin is unclear and is probably multifactorial. Hormonal and biological changes in pregnant women can lead to accelerated vascular growth of haemangioma. In our report, we present the case of a pregnant patient who was diagnosed with an aggressive vertebral haemangioma that further led to progressive paraparesis. We had to take the fact that she was pregnant into account in the diagnostic procedure, in the choice of examination method and also in the method of therapy. The goal of this case report is threefold: (1) provide an overview of the possible methods of management, specifically imaging, which will aid in diagnosis and based on that, (2) determining the appropriate therapy and (3) review the risks and benefits of each will be presented when choosing individual approaches.https://doi.org/10.1177/17455057221099018 |
| spellingShingle | Lívia Ridzoňová Miriam Fedičová Tomaš Andráš Peter Urdzík Zuzana Gdovinová Lower-limb progressive paraparesis management and diagnosis overview in a pregnant woman with vertebral haemangioma Women's Health |
| title | Lower-limb progressive paraparesis management and diagnosis overview in a pregnant woman with vertebral haemangioma |
| title_full | Lower-limb progressive paraparesis management and diagnosis overview in a pregnant woman with vertebral haemangioma |
| title_fullStr | Lower-limb progressive paraparesis management and diagnosis overview in a pregnant woman with vertebral haemangioma |
| title_full_unstemmed | Lower-limb progressive paraparesis management and diagnosis overview in a pregnant woman with vertebral haemangioma |
| title_short | Lower-limb progressive paraparesis management and diagnosis overview in a pregnant woman with vertebral haemangioma |
| title_sort | lower limb progressive paraparesis management and diagnosis overview in a pregnant woman with vertebral haemangioma |
| url | https://doi.org/10.1177/17455057221099018 |
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