Aggressive vertebral hemangioma, causing severe neurological impairment in the third trimester of pregnancy – case presentation

O.M. Teodor, A. Baroș, D. Teleanu, M.M. Cîrstoiu

Rezumat: Vertebral hemangioma is one of the most frequent benign tumors of the spine. About 1% of these tumors become aggressive and symptomatic. The aggressive vertebral hemangiomas associated with pregnancy represent an extremely rare condition, and obstetricians should be aware of this pathology in case of subacute onset of motor deficit and paraplegia, especially during the third trimester. The association with pregnancy favors the rapid onset of neurological symptomatology and raises particular issues in terms of prompt diagnosis and treatment, with the aim to prevent both maternal and fetal morbidity. We report a rare case of aggressive thoracic hemangioma during pregnancy. The severe and rapidly progressive neurological deficit caused by the vertebral tumor required complex postpartum interventional and neurosurgical treatment.
Cuvinte cheie: aggressive vertebral hemangioma, paraplegia, pregnancy, spine tumor, vertebroplasty, laminectomy