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Revista de la Asociación Argentina de Ortopedia y Traumatología
versão On-line ISSN 1852-7434
Resumo
PEREIRA DUARTE, Matías et al. Paraparesia aguda por hemangioma vertebral agresivo. Reporte de dos casos y revisión bibliográfica. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2021, vol.86, n.3, pp.398-406. ISSN 1852-7434. http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2021.86.3.1161.
Introduction: Aggressive hemangiomas make up 1% of all vertebral hemangiomas. They can produce pain, fractures, deformity and slowly progressive neurological compromise. Different treatment approaches have been described, but optimal management remains unclear. We report two cases of acute paraparesis secondary to aggressive thoracic hemangioma, we describe their treatment and evolution. We carry out a narrative review of the literature on vertebral hemangiomas. Conclusion: Through early decompression and arthrodesis followed by local adjuvant radiotherapy, we obtained complete neurological recovery and disease control in a medium-term follow-up.
Palavras-chave : Aggressive hemangioma; benign tumor; spine; radiotherapy; paraparesis.