{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T14:41:13Z","timestamp":1776523273021,"version":"3.51.2"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T00:00:00Z","timestamp":1776470400000},"content-version":"vor","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We report two cases of atypical vertebral haemangiomas. The first case involves a 44-year-old male presenting thoracolumbar pain, abdominal paresthesias, a T7 sensory level, and paraparesis. Imaging revealed an osteolytic lesion of the T3 vertebral body, epidural extension and spinal cord compression. An initial corpectomy with stabilization was performed, and histopathology was consistent with haemangioma. After partial neurological recovery, the patient experienced deterioration due to tumour regrowth. Preoperative embolization followed by combined posterior and thoracotomy-assisted resection allowed extended tumour removal and spinal stabilization, with sustained improvement at 12\u00a0months follow-up. The second case concerns a 65-year-old female with lumbar pain radiating to the left L5 dermatome and mild paresis. Magnetic resonance imaging demonstrated an L5 vertebral body lesion hypointense and hyperintense on T1\/T2-weighted sequences. Biopsy confirmed diagnosis. These are benign lesions; however, atypical or aggressive forms\u20141%\u2014may mimic malignancy leading to neurological compromise. This highlights the importance of early diagnosis and multidisciplinary management.<\/jats:p>","DOI":"10.1093\/jscr\/rjag135","type":"journal-article","created":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T11:42:30Z","timestamp":1775907750000},"source":"Crossref","is-referenced-by-count":0,"title":["Aggressive epithelioid vertebral haemangioma with atypical imaging features presenting as compressive myelopathy: a case series"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9984-1333","authenticated-orcid":false,"given":"Daniela","family":"Casta\u00f1o-Bustos","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Pontificia Universidad Javeriana , Bogot\u00e1 110231 ,","place":["Colombia"]},{"name":"Department of Neurosurgery, Hospital Universitario San Ignacio , Bogot\u00e1 110231 ,","place":["Colombia"]},{"name":"Neurosurgery Research Group, Pontificia Universidad Javeriana , Bogot\u00e1 110231 ,","place":["Colombia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana","family":"Agudelo-Arrieta","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Pontificia Universidad Javeriana , Bogot\u00e1 110231 ,","place":["Colombia"]},{"name":"Department of Neurosurgery, Hospital Universitario San Ignacio , Bogot\u00e1 110231 ,","place":["Colombia"]},{"name":"Neurosurgery Research Group, Pontificia Universidad Javeriana , Bogot\u00e1 110231 ,","place":["Colombia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda I","family":"Ocampo-Navia","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Pontificia Universidad Javeriana , Bogot\u00e1 110231 ,","place":["Colombia"]},{"name":"Department of Neurosurgery, Hospital Universitario San Ignacio , Bogot\u00e1 110231 ,","place":["Colombia"]},{"name":"Neurosurgery Research Group, Pontificia Universidad Javeriana , Bogot\u00e1 110231 ,","place":["Colombia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juli\u00e1n A","family":"Sierra-Pe\u00f1a","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Pontificia Universidad Javeriana , Bogot\u00e1 110231 ,","place":["Colombia"]},{"name":"Department of Neurosurgery, Hospital Universitario San Ignacio , Bogot\u00e1 110231 ,","place":["Colombia"]},{"name":"Neurosurgery Research Group, Pontificia Universidad Javeriana , Bogot\u00e1 110231 ,","place":["Colombia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel E","family":"Berbeo-Calder\u00f3n","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Pontificia Universidad Javeriana , Bogot\u00e1 110231 ,","place":["Colombia"]},{"name":"Department of Neurosurgery, Hospital Universitario San Ignacio , Bogot\u00e1 110231 ,","place":["Colombia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto C","family":"D\u00edaz-Orduz","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Pontificia Universidad Javeriana , Bogot\u00e1 110231 ,","place":["Colombia"]},{"name":"Department of Neurosurgery, Hospital Universitario San Ignacio , Bogot\u00e1 110231 ,","place":["Colombia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,4,17]]},"reference":[{"key":"2026041809484525600_ref1","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1177\/19714009221098115","article-title":"Vertebral Hemangiomas: prevalence, new classification and natural history","volume":"36","author":"Abul-Kasim","year":"2023","journal-title":"Neuroradiol J"},{"key":"2026041809484525600_ref10","doi-asserted-by":"crossref","first-page":"1780","DOI":"10.1007\/s00261-017-1109-4","article-title":"The polka-dot sign","volume":"42","author":"Kim","year":"2017","journal-title":"Abdom Radiol"},{"key":"2026041809484525600_ref4","doi-asserted-by":"crossref","first-page":"109","DOI":"10.5312\/wjo.v7.i2.109","article-title":"Tumors of the spine","volume":"7","author":"Ciftdemir","year":"2016","journal-title":"World J Orthop"},{"key":"2026041809484525600_ref9","doi-asserted-by":"crossref","first-page":"320","DOI":"10.13004\/kjnt.2020.16.e24","article-title":"Rapidly progressive atypical vertebral hemangioma: a case report","volume":"16","author":"Kim","year":"2020","journal-title":"Korean J Neurotrauma"},{"key":"2026041809484525600_ref17","first-page":"683","article-title":"Aggressive vertebral hemangioma: MR imaging and CT features","volume":"214","author":"Tomycz","year":"2000","journal-title":"Radiology"},{"key":"2026041809484525600_ref2","doi-asserted-by":"crossref","first-page":"198","DOI":"10.4103\/sni.sni_90_18","article-title":"Atypical spinal epidural capillary hemangioma: case report","volume":"9","author":"Brasil","year":"2018","journal-title":"Surg Neurol Int"},{"key":"2026041809484525600_ref3","doi-asserted-by":"crossref","first-page":"E575","DOI":"10.1227\/01.NEU.0000255345.48829.0B","article-title":"Acute presentation of spinal epidural cavernous angiomas: case report","volume":"60","author":"Caruso","year":"2007","journal-title":"Neurosurgery"},{"key":"2026041809484525600_ref5","doi-asserted-by":"crossref","first-page":"36","DOI":"10.3171\/jns.1993.78.1.0036","article-title":"The natural history and management of symptomatic and asymptomatic vertebral hemangiomas","volume":"78","author":"Fox","year":"1993","journal-title":"J Neurosurg"},{"key":"2026041809484525600_ref7","first-page":"392","article-title":"Radiation therapy in the management of symptomatic vertebral hemangiomas: a multicenter retrospective study","volume":"104","author":"Goyal","year":"2019","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"2026041809484525600_ref11","first-page":"715","article-title":"Vertebral hemangiomas: radiologic and pathologic features and therapeutic implications","volume":"34","author":"Laredo","year":"2014","journal-title":"Radiographics"},{"key":"2026041809484525600_ref6","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1007\/s00256-014-2035-y","article-title":"A systematic approach to vertebral hemangioma","volume":"44","author":"Gaudino","year":"2015","journal-title":"Skeletal Radiol"},{"key":"2026041809484525600_ref8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13018-024-04799-5","article-title":"Vertebral hemangiomas: a review on diagnosis and management","volume":"19","author":"Kato","year":"2024","journal-title":"J Orthop Surg Res"},{"key":"2026041809484525600_ref19","first-page":"317","article-title":"Atypical vertebral hemangioma: an aggressive form of a benign disease","volume":"21","author":"Zafeiris","year":"2021","journal-title":"J Musculoskelet Neuronal Interact"},{"key":"2026041809484525600_ref12","first-page":"461","article-title":"Intraosseous hemangiomas of the spine: vertebral hemangioma and beyond","volume":"37","author":"Mauch","year":"2016","journal-title":"Semin Ultrasound CT MR"},{"key":"2026041809484525600_ref13","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1016\/j.spinee.2014.02.031","article-title":"Epithelioid hemangioma of the spine mimicking metastatic tumor: case report and review of the literature","volume":"14","author":"Murata","year":"2014","journal-title":"Spine J"},{"key":"2026041809484525600_ref16","first-page":"E7","article-title":"Acute spinal cord compression caused by vertebral hemangioma","volume":"29","author":"Templin","year":"2004","journal-title":"Spine (Phila Pa 1976)"},{"key":"2026041809484525600_ref18","first-page":"685","article-title":"Diffusion-weighted imaging in differentiation of benign and malignant vertebral compression fractures","volume":"225","author":"Yao","year":"2002","journal-title":"Radiology"},{"key":"2026041809484525600_ref14","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1016\/S0090-3019(98)00007-X","article-title":"Vertebral hemangiomas: diagnosis, management, natural history and clinicopathological correlates in 86 patients","volume":"50","author":"Pastushyn","year":"1998","journal-title":"Surg Neurol"},{"key":"2026041809484525600_ref15"},{"key":"2026041809484525600_ref20","first-page":"948","article-title":"Diffusion-weighted MR imaging offers no advantage over routine noncontrast MR imaging in the detection of vertebral metastases","volume":"21","author":"Castillo","year":"2000","journal-title":"AJNR Am J Neuroradiol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/4\/rjag135\/68109976\/rjag135.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/4\/rjag135\/68109976\/rjag135.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T13:48:56Z","timestamp":1776520136000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag135\/8658653"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,1]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag135","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,4]]},"published":{"date-parts":[[2026,4,1]]},"article-number":"rjag135"}}