Symptomatic expansile vertebral hemangioma causing conus medullaris compression
Language: 
English
Abstract: 

OBJECTIVE: To present a case of symptomatic, expansile L1 vertebral hemangioma. CLINICAL FEATURES: A 46-year-old man presented with progressive neurologic changes and insidious onset of low back pain. INTERVENTION AND OUTCOME: After a trial of 3 visits of conservative chiropractic care, no improvement was noted. Magnetic resonance imaging was obtained, revealing an expansile hemangioma with extra-osseous component compromising the conus medullaris at the level of the L1 lumbar vertebra. Neurosurgical intervention resulted in clinical improvement. CONCLUSION: Primary care physicians treating patients with low back pain should be aware of neurologic red flags requiring prompt attention. Magnetic resonance imaging is the imaging modality of choice when evaluating a neurologic abnormality presumably related to a space-occupying lesion. Although a disk herniation is the most common cause of these symptoms, clues in the history and examination must prompt physicians to expand their differential diagnosis to include a variety of other extradural masses.

Author(s): 
Rich, Jeffrey A.
Donahue, Thomas C.
Mick, Timothy J.
Item Type: 
Journal Article
Publication Title: 
Journal of Manipulative and Physiological Therapeutics
Journal Abbreviation: 
J Manipulative Physiol Ther
Publication Date: 
2005 Mar-Apr
Publication Year: 
2005
Pages: 
194-198
Volume: 
28
Issue: 
3
ISSN: 
1532-6586
DOI: 
10.1016/j.jmpt.2005.02.017
Library Catalog: 
NCBI Published Medical (?)
Extra: 
PMID: 15855908

Turabian/Chicago Citation

Jeffrey A. Rich, Thomas C. Donahue and Timothy J. Mick. 2005 Mar-Apr. "Symptomatic expansile vertebral hemangioma causing conus medullaris compression." Journal of Manipulative and Physiological Therapeutics 28: 3: 194-198. 10.1016/j.jmpt.2005.02.017.

Wikipedia Citation

<ref> {{Cite journal | doi = 10.1016/j.jmpt.2005.02.017 | issn = 1532-6586 | volume = 28 | pages = 194-198 | last = Rich | first = Jeffrey A. | coauthors = Donahue, Thomas C., Mick, Timothy J. | title = Symptomatic expansile vertebral hemangioma causing conus medullaris compression | journal = Journal of Manipulative and Physiological Therapeutics | date = 2005 Mar-Apr | pmid = | pmc = }} </ref>