Gustavo de Almeida Nunes Gil, Daniela da Silveira Gravina, Guilherme Ranzi Cobalchini, Pedro Bertoldo Bossardi, Péricles Guazzelli Della Giustina
{"title":"Aggressive Thoracic Spine Hemangioma in a 13-Year-Old Boy: A Case Report with Literature Review.","authors":"Gustavo de Almeida Nunes Gil, Daniela da Silveira Gravina, Guilherme Ranzi Cobalchini, Pedro Bertoldo Bossardi, Péricles Guazzelli Della Giustina","doi":"10.13107/jocr.2025.v15.i05.5588","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Most vertebral hemangiomas are latent and don't not require specific treatment; few cases present with symptoms, usually pain. Rarely, they manifest aggressively, causing neurological deficits from spinal cord compression.</p><p><strong>Case report: </strong>This case report describes a 13-year-old boy whose gait disturbance investigation revealed an aggressive T6 hemangioma.</p><p><strong>Conclusion: </strong>Diagnosis is typically determined by imaging changes. Surgical treatment is indicated for cases with neurological deficits. Emergency decompression with laminectomy is required for rapid, progressive deficits, with radiotherapy considered based on extraosseous involvement. Level of Evidence IV. Case report.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 5","pages":"141-145"},"PeriodicalIF":0.0000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064237/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthopaedic Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.13107/jocr.2025.v15.i05.5588","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Most vertebral hemangiomas are latent and don't not require specific treatment; few cases present with symptoms, usually pain. Rarely, they manifest aggressively, causing neurological deficits from spinal cord compression.
Case report: This case report describes a 13-year-old boy whose gait disturbance investigation revealed an aggressive T6 hemangioma.
Conclusion: Diagnosis is typically determined by imaging changes. Surgical treatment is indicated for cases with neurological deficits. Emergency decompression with laminectomy is required for rapid, progressive deficits, with radiotherapy considered based on extraosseous involvement. Level of Evidence IV. Case report.