Aggressive spinal hemangioma

The body and left pedicle of T6 are largely replaced by hypointenseenhancinghypointense-enhancing material. Changes in the trabecula and the cortex are also present and thefeaturesthe features are entirely in keeping with the clinical history of haemangiomahemangioma. There isextraosseous haemangiomais extraosseous hemangioma as well on the left lateral aspect of the vertebral body andalsoand also in the left anterior and left lateral aspect of the epidural space at the samelevelsame level. The combination of features results in minimal flattening of the lateraldiameterslateral diameters of the canal.

Similar changes are present in the left pedicle of T7. The extraosseous soft tissuematerialtissue material probably narrows the left T6-T7 exit foramen to a mild degree. It wouldrequirewould require clinical correlation to determine whether the left T6 root is affected by thisprocessthis process.

No other relevant abnormal finding.

COMMENT:

Bony haemangiomahemangioma of the body and left pedicle of T6 and also at the left pedicle ofT7of T7. There is a significant amount of intra and extradural extraosseous soft tissuematerial. At this stage this probably impacts upon the left T6 root at foramen leveland it displaces but does not compress the cord in the midthoracic region.

The procedure and rationale waswere discussed with the patient.

Left T7 pedicle was decided on for biopsy.

With patient prone, aseptic technique and intravenous sedation, periosteal local anaestheticanesthetic infiltration was used.

A 12G/13G bonopty bone biopsy needle was used to access the left pedicle, and solid core about 2.5 cm in length was obtained along this path.