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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleNeurointervention

Alcohol Ablation of SymptomaticVertebral Hemangiomas

Mayank Goyal, Nalin K. Mishra, Aseem Sharma, Shailesh B. Gaikwad, B. K. Mohanty and Sanjiv Sharma
American Journal of Neuroradiology June 1999, 20 (6) 1091-1096;
Mayank Goyal
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Nalin K. Mishra
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Aseem Sharma
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Shailesh B. Gaikwad
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B. K. Mohanty
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Sanjiv Sharma
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    fig 1.

    Axial CT scan at the level of the maximal epidural soft-tissue component of the hemangioma taken during injection of contrast medium through the needle positioned into the vertebral body. Note the excellent opacification of the epidural soft tissue on either side of midline (arrow)

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    fig 2.

    Axial CT scan obtained similarly in another patient shows extravasation of contrast into the paraspinal muscles (arrow) and pleural cavity. The procedure was abandoned at this stage

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    fig 3.

    A 35-year old man who presented with paraparesis. T1- (A) (450/15/3, [TR/TE/excitations]) and T2-weighted (B) (4200/90/1) sagittal MR images show a typical hemangioma at middorsal level. The posterior elements also are involved, and the spinal canal is compromised. Note the presence of hyperintense signal within the spinal cord on the T2-weighted image

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    fig 4.

    Sequential MR images of a 35-year old woman with SVH who underwent an uneventful alcohol ablation of the lesion. Preprocedural T1-weighted (A) (500/15/3) and T2-weighted (B) (3800/91/1) axial images at the level of the lesion show the hemangioma with a large epidural soft-tissue component causing compression of the spinal cord. Follow-up T1-weighted (C) (540/18/3) and T2-weighted images (D) (3800/91/1) after an interval of 2 months show a dramatic reduction of soft-tissue hemangiomatous involvement. Note the change in signal in the vertebral-body hemangioma on the follow-up MR images (C and D)

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    TABLE 1:

    Results of CT-guided alcohol ablation in patients with SVH

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American Journal of Neuroradiology
Vol. 20, Issue 6
1 Jun 1999
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Alcohol Ablation of SymptomaticVertebral Hemangiomas
Mayank Goyal, Nalin K. Mishra, Aseem Sharma, Shailesh B. Gaikwad, B. K. Mohanty, Sanjiv Sharma
American Journal of Neuroradiology Jun 1999, 20 (6) 1091-1096;
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Cite this article
Mayank Goyal, Nalin K. Mishra, Aseem Sharma, Shailesh B. Gaikwad, B. K. Mohanty, Sanjiv Sharma
Alcohol Ablation of SymptomaticVertebral Hemangiomas
American Journal of Neuroradiology Jun 1999, 20 (6) 1091-1096;

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