Symptomatic spinal hemangiomas in association with cutaneous hemangiomas - A case report

Study Design. This case report describes a patient with associated vertebral and peripheral vascular malformations presenting with a painful scoliosis. Objectives. To treat the vertebral osseous lesion successfully with embolization. Summary of Background Data. Although vertebral vascular malformations are well described, the association with peripheral lesions is uncommon. When associated peripheral vascular malformations occur, they are usually in tissues derived from the same embryonic segment, which was not the case in this instance. Methods. After investigation with angiography, this patient's vertebral osseous lesion was treated by embolization. Results. This patient's pain has been abolished since embolization. Her scoliosis has not progressed during follow-up. Conclusions. This case illustrates the association between spinal and peripheral vascular malformations, and that this association is not always metameric. It highlights the fact that invasive procedures other than surgery are a valuable part of the therapeutic armamentarium.