{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T23:26:27Z","timestamp":1769729187232,"version":"3.49.0"},"reference-count":60,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"7","license":[{"start":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T00:00:00Z","timestamp":1723420800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,8,12]]},"abstract":"\n BACKGROUND<\/jats:title>\n Vertebral hemangioma is the most common benign tumor of the spine, diagnosed incidentally in most cases. In 0.4% of patients, the lesion is considered aggressive, causing neurological deficits. This subtype of hemangioma is characterized by strong postcontrast enhancement, cortical lysis, and epidural extension causing myelopathy and\/or radiculopathy.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n A 52-year-old man presented with myelopathy symptoms, namely lower-limb hypoesthesia up to the T4\u20135 sensory level, right leg hyposthenia, and urinary incontinence. Imaging studies revealed a giant dumbbell-shaped lesion causing spinal cord compression, associated with signal alteration of the T3 vertebral body. The diagnosis of schwannoma was not certain given the radiological features, so a biopsy was planned and confirmed the diagnosis of vertebral hemangioma. Preoperative embolization, spinal fusion, and gross-total resection of the extravertebral component of the lesion were performed.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n This report should raise awareness of the differential diagnosis of dumbbell-shaped spinal tumors and the therapeutic strategies available for aggressive vertebral hemangiomas, a rare lesion that should be managed in a multidisciplinary setting.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE24190<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case24190","type":"journal-article","created":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T02:46:05Z","timestamp":1723430765000},"source":"Crossref","is-referenced-by-count":0,"title":["Aggressive giant dumbell-shaped thoracic vertebral hemangioma: illustrative case"],"prefix":"10.3171","volume":"8","author":[{"given":"Matteo","family":"Gionso","sequence":"first","affiliation":[{"name":"Department of Biomedical Sciences, Humanitas University, Milan, Italy"},{"name":"Departments of Neurosurgery, IRCCS Humanitas Research Hospital, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Baram","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, IRCCS Humanitas Research Hospital, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"De Robertis","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Humanitas University, Milan, Italy"},{"name":"Departments of Neurosurgery, IRCCS Humanitas Research Hospital, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Tomei","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, IRCCS Humanitas Research Hospital, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniele","family":"Ajello","sequence":"additional","affiliation":[{"name":"Departments of Neuroradiology, IRCCS Humanitas Research Hospital, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umberto","family":"Cariboni","sequence":"additional","affiliation":[{"name":"Departments of Thoracic Surgery, IRCCS Humanitas Research Hospital, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Pessina","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Humanitas University, Milan, Italy"},{"name":"Departments of Neurosurgery, IRCCS Humanitas Research Hospital, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurizio","family":"Fornari","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, IRCCS Humanitas Research Hospital, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriele","family":"Capo","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, IRCCS Humanitas Research Hospital, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"1","key":"bib1","series-title":"Skelet Radiol","first-page":"25","article-title":"A systematic approach to vertebral hemangioma","volume":"44","author":"Gaudino","year":"2015","unstructured":"Gaudino SMartucci MColantonio R, et al. 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J Orthop Case Rep. 2018;8(2):33-37."},{"issue":"3","key":"bib28","series-title":"Orthopade","first-page":"221","article-title":"Surgical treatment of compressive spinal hemangioma: a case series of three patients and literature review","volume":"47","author":"Chen","year":"2018","unstructured":"Chen YLHu XDXu NJJiang WYMa WH. Surgical treatment of compressive spinal hemangioma: a case series of three patients and literature review. Orthopade. 2018;47(3):221-227."},{"issue":"7","key":"bib29","series-title":"Strahlenther Onkol","first-page":"648","article-title":"Radiotherapy for vertebral hemangioma: the single-center experience of 80 patients","volume":"198","author":"Aksoy","year":"2022","unstructured":"Aksoy RAAksu MGKorcum AFGenc M. Radiotherapy for vertebral hemangioma: the single-center experience of 80 patients. 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