Keywords: Pregnancy, symptomatic hemangioma, tumor recurrence, vertebral hemangiomaĪ 28-year-old female in her 34 th week of pregnancy presented with progressive paraparesis over a 10-day period. Her child was successfully delivered 2 months later at which point she exhibited only mild residual lower limb spasticity.Ĭonclusion:Patients with known vertebral hemangiomas should be closely monitored during pregnancy as increased growth during these pregnancies may result in progressive spinal cord compression. The MR demonstrated cord compression one more at the T5 level attributed to the hemangioma following a T5 and T6 laminectomy, the left paracentral epidural vascular mass totally resected.
However, six years later, she again presented with a spastic paraparesis and sphincter deficit now 29 weeks pregnant. She fully recovered after this first surgery.
Indeed, the histopathology was consistent with a vertebral hemangioma. Following a cesarean section, she had a trans thoracic T5 corpectomy with spinal fusion.
Magnetic Resonance Imaging (MRI) demonstrated an T5 vertebral body signal change attributed to a hemangioma resulting in cord compression. Here, we report a patient who experienced symptomatic vertebral hemangiomas resulting in cord compression during two consecutive pregnancies.Ĭase Description:A 28-year-old female 34 weeks pregnant, presented with a progressive spastic paraparesis. Background:Pregnancy-related changes can exacerbate the symptoms/signs of vertebral hemangiomas.
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