Intralesional Injection of Absolute Alcohol Into Symptomatic Vertebral Hemangiomas: A Case Report and Review of the Literature

Abstract: The management of vertebral hemangiomas remains controversial. This report describes the successful management of spinal cord compression caused by an intraosseous and extraosseous vertebral hemangioma with the percutaneous injection of absolute alcohol. A 71-year-old woman presented with lower extremity weakness and sensory disturbance. Magnetic resonance imaging and computed tomography (CT) confirmed the presence of a vertebral hemangioma involving the Th11 vertebral body. A CT-guided percutaneous transpedicular injection of absolute alcohol into the affected vertebral body resulted in symptomatic and imaging improvement. CT-guided percutaneous transpedicular injection of absolute alcohol into symptomatic vertebral hemangiomas is a simple, safe, and effective technique for relieving compression and devascularizing the hemangioma.