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  • Title: An aggressive vertebral hemangioma in pregnancy: a case report.
    Author: Slimani O, Jayi S, Fdili Alaoui F, Bouguern H, Chaara H, Fikri G, Alaoui Rachidi S, Sqalli Houssaini N, Himmich M, Abdelilah Melhouf M.
    Journal: J Med Case Rep; 2014 Jun 18; 8():207. PubMed ID: 24943121.
    Abstract:
    INTRODUCTION: Pregnancy-related compressive myelopathy secondary to vertebral hemangioma is a rare occurrence and its treatment antepartum is rare. CASE PRESENTATION: A 19-year-old North African woman in her 38th week of pregnancy presented with paraplegia that progressed within 2 days after a rapidly progressive weakness of her lower limbs. Magnetic resonance imaging studies showed compression of her spinal cord in front of the fourth thoracic vertebra for suspected tuberculous spondylitis. A Caesarean section was done followed by corpectomy with a bone graft because we intraoperatively discovered a vertebral hemangioma. Pathology showed an aggressive hemangioma. CONCLUSION: At any term of pregnancy, extensive neurological involvement which is rapidly progressive due to compression should be considered for immediate decompression.
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