Clinical and radiographic response of a paravertebral hemangioma to radiotherapy

Laura Burgess; Julia Malone; Marlise P Dos Santos; John Sinclair; Osbert Zalay; Shawn Malone

doi:10.1016/j.radcr.2023.11.032

Clinical and radiographic response of a paravertebral hemangioma to radiotherapy

Radiol Case Rep. 2023 Dec 22;19(3):988-993. doi: 10.1016/j.radcr.2023.11.032. eCollection 2024 Mar.

Authors

Laura Burgess^{1

2}, Julia Malone^{1

2}, Marlise P Dos Santos^{3

4

5}, John Sinclair⁶, Osbert Zalay^{1

2}, Shawn Malone^{1

2}

Affiliations

¹ Department of Radiology, Division of Radiation Oncology, University of Ottawa, Ottawa, Ontario, Canada.
² Department of Radiology, Division of Radiation Oncology, The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
³ Department of Radiology, Radiation Oncology and Medical Physics, Section of Neuroradiology, University of Ottawa, Ottawa, Ontario, Canada.
⁴ Department of Surgery Divisions of Neurosurgery and Interventional Neuroradiology, The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
⁵ Brain and Mind Research Institute, University of Ottawa, Ottawa, Ontario, Canada.
⁶ Department of Surgery, Division of Neurosurgery, University of Ottawa, Ottawa, Ontario, Canada.

Abstract

Hemangiomas can arise anywhere in the body. While vertebral hemangiomas are common, atypical hemangiomas with paraspinal and epidural extension are rare. We present a case of a patient who presented with persistent cough and anorexia from a paravertebral hemangioma that invaded the adjacent vertebrae and neural foramen causing moderate spinal canal stenosis. She was treated with stereotactic body radiotherapy to prevent the development of symptomatic spinal cord compression. The hemangioma underwent significant shrinkage and her cough resolved. This case demonstrates impressive and sustained clinical and radiographic response of a paraspinal hemangioma to stereotactic body radiotherapy.

Keywords: Hemangioma; Image-guided radiotherapy; Stereotactic body radiotherapy.

Publication types

Case Reports