Neurology Expert Forum
Vertebral Hemangioma
About This Forum:

This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Vertebral Hemangioma

I am a physician and have been out of work for over 5 years with intractable neck pain. I have a Vertebral Hemangioma at the T-1 area that fills over %50 of the vertebral body but every physician tells me not to consider it a pain source. I have neck pain but it is much worse when sitting or standing. I cannot sit more that ten minutes at a time.  I have heard of ethanol treatments.  Can you give me some advice or would you consider a visit and evaluation?  Dr. Lacy
Related Discussions
Avatar_n_tn
Sorry to hear about your symptoms.  Neck pain in the absence of a radiculopathy, weakness, or corticospinal tract findings would be an unlikely presentation of a vertebral hemangioma. I'm guessing it was probably an incidental finding on an MRI. The ethanol treatments are usually reserved for people with intractable symptomatic hemangiomas as they carry risks of complications that can be quite dramatic such as spinal cord infarction.  As you know, ethanol can be directly injected into the hemangioma percutaneously to sclerose it or into the feeding vessels. There's always a possibility that the feeding vessels may also supply part of the spinal cord which could lead to disastrous results if  a sclerosing agent is injected. The alternative of direct injection appears to be safer.  But every procedure carries risks.  And if the hemangioma is not the source of pain, then you would end up with risks but no benefit.For more info, there is a great review article in the New England Journal of Medicine from Aug 1994 that you can read and make your own decision.

It might help to get a second opinion on your neck pain. Perhaps a fresh look by a neurologist or even pain clinic can get you back to work soon. Best of luck.
2 Comments
Blank
Avatar_n_tn
what exactly is this hemagioma?  Just recently went for updated MRI from last year and this was part of my changing condition..It states diffuse signal changes in the bone marrow consistant with fatty changes, perhaps benign hemanioma no aggressive character.  This is along with herniations to c3-4, c4-5, bulging disks at c5-6, c6-7, severe degenerative changes from c-3 to c-7 with large spurs to the anterior of the vertebral wall, severe kyphosis, significant signal change from c-3 to c-7 of the spinal canal with a deformity to spinal cord.  Trauma induced.
Blank
Avatar_n_tn
A related discussion, Hemangioma was started.
Blank
Avatar_f_tn
A related discussion,   vertebral hemangioma was started.
Blank
Continue discussion Blank
Blank
Request an Appointment
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank