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Journal of Case Reports
Pre and Post Radiotherapy Imaging findings of Aggressive Vertebral Haemangioma of the Thoracic Spine

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Manjit Bagul, Rajesh Mehra
Consultant  Radiologist, Venus Diagnostic Centre, Bhopal, Madhya Pradesh, 462011, India.
Corresponding Author:
Dr. Manjit Bagul
Email: manjitbagul84@gmail.com
Received: 25-JUN-2016 Accepted: 29-JUN-2016 Published Online: 30-JUN-2016
DOI: http://dx.doi.org/10.17659/01.2016.0069
Abstract
Vertebral hemangiomas (VH) are common unifocal or multifocal benign lesions in spine imaging with incidence of 10%-12%. Patients are usually asymptomatic and often vertebral hemangioma is incidental finding on imaging. An aggressive or atypical vertebral hemangiomas have associated imaging features like extra-osseous extension, compression fractures, vertebral ballooning & soft tissue components exist with incidence of 1% to 3%.  Treatment protocols for aggressive VHs include combination of radiotherapy, vertebroplasty, alcohol injection, embolization, and surgery. We present a case of 24 year female patient having aggressive D12 vertebral hemangioma showing extra-osseous extension, ballooning and small intra-spinal soft tissue component not causing cord compression and follow up imaging after completion of radiotherapy. 
Keywords : Compression Fractures, Hemangioma, Spinal Cord Compression, Spine, Vertebroplasty.
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