Relief of spinal block during embolization of a vertebral body hemangioma

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✓ The authors describe a case in which a subarachnoid block caused by a thoracic vertebral hemangioma was relieved during percutaneous embolization of the tumor.

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Address reprint requests to: Charles J. Hodge, M.D., State University of New York, Upstate Medical Center, 766 Irving Avenue, Syracuse, New York 13210.

© AANS, except where prohibited by US copyright law.

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Figures

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    Prone anteroposterior fluoroscopic (left) and trans-table lateral radiographs (right) reveal a high-grade extradural block at the T-8 level. Only a small trickle of Pantopaque passes along the ventral side of the spinal cord.

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    Left: Selective angiogram of the right eighth intercostal artery demonstrates a diffuse tumor blush throughout the T-8 vertebral body and its remaining posterior elements. Right: Selective angiogram of the right eighth intercostal artery following Gelfoam embolization shows marked diminution of the tumor blush.

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    Prone anteroposterior (left) fluoroscopic and trans-table lateral radiographs (right) now show spontaneous passage of Pantopaque past the level of the block.

References

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