Massive spinal epidural infantile hemangioma, image findings, and treatment: a case report and review of literature

Youssef Ghosn; Yara Jabbour; Farah Abou Zeid; Nawaf Jurdi; Riad Khouzami; Hicham Moukaddam

doi:10.1007/s00256-024-04570-1

Massive spinal epidural infantile hemangioma, image findings, and treatment: a case report and review of literature

Skeletal Radiol. 2024 Mar 21. doi: 10.1007/s00256-024-04570-1. Online ahead of print.

Authors

Youssef Ghosn¹, Yara Jabbour¹, Farah Abou Zeid¹, Nawaf Jurdi², Riad Khouzami¹, Hicham Moukaddam³

Affiliations

¹ Department of Diagnostic Radiology, American University of Beirut, Riad El-Solh, P.O. Box 11-0236, Beirut, 1107 2020, Lebanon.
² Department of Pathology, American University of Beirut, Beirut, Lebanon.
³ Department of Diagnostic Radiology, American University of Beirut, Riad El-Solh, P.O. Box 11-0236, Beirut, 1107 2020, Lebanon. hm09@aub.edu.lb.

PMID: 38512366
DOI: 10.1007/s00256-024-04570-1

Abstract

Spinal involvement of infantile hemangiomas is rare with the predilection to involve the epidural space. A proper diagnosis might be challenging due to the atypical location and variable/inconsistent use of the International Society for the Study of Vascular Anomalies (ISSVA) classification by radiologists, pathologists, and clinicians. A proper diagnosis of epidural infantile hemangioma is key due to the different aggressiveness of the treatment options with inconstant literature regarding the best available treatment. Herein, we present a case of a massive epidural infantile hemangioma successfully treated with only beta-blocker. We discuss the clinical, MRI, CT, ultrasound, and histological features of this lesion as we review the literature with the objective of addressing some of the confusion surrounding the subject.

Keywords: Beta-blockers; Classification; Epidural Infantile hemangioma; Vascular tumor.