PDF(Pubmed)
Abstract：
UNASSIGNED: There are only rare reports of simultaneous multiple thoracic vertebral, epidural, and congenital cutaneous hemangiomas occurring at the same levels.
UNASSIGNED: A 24-year-old male presented with a progressive paraparesis attributed to multiple vertebral hemangiomas (MVH) with epidural extension (i.e. resulting in D1-D3 significant cord compression.), plus congenital cutaneous lesions at the D2-D7 levels. Following preoperative angioembolisation, a D1-D7 laminectomy was performed along with a C7-D8 pedicle screw fixation. Pathologically the bone and cutaneous lesions were spinal cavernous hemangiomas. Postoperatively, the patient regained normal function. As complete excision was not feasible, he subsequently received radiotherapy to prevent tumor recurrence.
UNASSIGNED: MVH with multilevel epidural extension resulting in significant cord compression and congenital cutaneous lesions should undergo attempted tumor excision followed by radiation therapy where complete removal is not feasible.
UNASSIGNED: A 24-year-old male presented with a progressive paraparesis attributed to multiple vertebral hemangiomas (MVH) with epidural extension (i.e. resulting in D1-D3 significant cord compression.), plus congenital cutaneous lesions at the D2-D7 levels. Following preoperative angioembolisation, a D1-D7 laminectomy was performed along with a C7-D8 pedicle screw fixation. Pathologically the bone and cutaneous lesions were spinal cavernous hemangiomas. Postoperatively, the patient regained normal function. As complete excision was not feasible, he subsequently received radiotherapy to prevent tumor recurrence.
UNASSIGNED: MVH with multilevel epidural extension resulting in significant cord compression and congenital cutaneous lesions should undergo attempted tumor excision followed by radiation therapy where complete removal is not feasible.
摘要：
■只有罕见的同时有多个胸椎的报道，硬膜外,和先天性皮肤血管瘤发生在同一水平。
■一名24岁男性患者出现进行性轻瘫，原因是多发性椎体血管瘤（MVH）伴硬膜外扩张（即导致D1-D3显著脊髓压迫。),加上D2-D7级的先天性皮肤病变。术前血管栓塞术后,进行D1-D7椎板切除术以及C7-D8椎弓根螺钉固定.在病理上，骨和皮肤病变是脊髓海绵状血管瘤。术后,患者恢复了正常功能.因为完全切除是不可行的，他随后接受放射治疗以防止肿瘤复发。
■多层硬膜外延伸导致严重的脐带压迫和先天性皮肤损伤的MVH应尝试进行肿瘤切除，然后进行放射治疗，其中完全切除是不可行的。
■一名24岁男性患者出现进行性轻瘫，原因是多发性椎体血管瘤（MVH）伴硬膜外扩张（即导致D1-D3显著脊髓压迫。),加上D2-D7级的先天性皮肤病变。术前血管栓塞术后,进行D1-D7椎板切除术以及C7-D8椎弓根螺钉固定.在病理上，骨和皮肤病变是脊髓海绵状血管瘤。术后,患者恢复了正常功能.因为完全切除是不可行的，他随后接受放射治疗以防止肿瘤复发。
■多层硬膜外延伸导致严重的脐带压迫和先天性皮肤损伤的MVH应尝试进行肿瘤切除，然后进行放射治疗，其中完全切除是不可行的。
