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What Are Vertebral Hemangiomas?

Posted on Thu, 12 Mar 2015

Question: My Mri states, Hemangiaoma (13X13mm) in the T4 vertebral body with possible non-fat-containing hemangioam(8X6mm) in the C6 vertebral body. Bone Scan correlation for the latter lesion is recommended. What does this mean, are they tumors, could I have cancer. I also have two bulging and one herniated disc

Answered by Dr. Ajay Panwar (56 minutes later)

Brief Answer:
Hemangiomas are benign neoplasms.They are not cancer.

Detailed Answer:
Hi XXXXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

Vertebral hemangiomas are benign neoplasms.They are very common,found in MRI spine in atleast 10% of the adult individuals.They don't need any treatment unless they cause any symptom.

Bone scan can help differentiate between a hemangioma and a malignant tumor by observing the pattern of radiotracer uptake.So,it can be done in a hemangioma,which is having slightest doubt to be otherwise(cancerous).

Bulging discs and herniated discs are to be treated according to the symptoms.
Are you having any symptoms like-
weakness in limbs
tingling in limbs
Pain
or
Bladder problems

Please follow up so that I can answer your query well.

Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Ajay Panwar (4 days later)

I do have weakness in my right arm. I have pain and tightening in my neck and upper back that radiates through my shoulder. I also have frequent headaches sometimes so bad that they effect my vision. I am otherwise okay, the headaches and pain come and go without a cause as to why outside of the herniation. They headaches and pain however did not start until I was in the car accident and diagnosed with the bulging and herniated discs.

Answered by Dr. Ajay Panwar (12 hours later)

Brief Answer:
Physiotherapy/Antineuralgics/Please upload MRI image and report.

Detailed Answer:
Hi XXXXXXX,
Thanks for being in follow-up.

Weakness in extremities in presence of radiating pain in neck indicates that herniated discs and disc bulges are causing compressive effect on nerve radicles(radiculopathy).This needs to be treated.

Treatment plan-
1)Dedicated regular cervical spinal exercises/Physiotherapy is mandatory.
2)Antineuralgics like amitriptyline,pregabalin,duloxetine to be started for pain.
3)Methylcobalamin 1500 mcg per day.
4)Calcium and vitamin D supplementation.

Herniated discs and disc bulges can result in headache also along with neck pain.Please follow the above treatment plan and observe whether the headache persists or improves. Amitriptyline is one drug which acts as antineuralgic and also covers stress headache.This should be preferable antineuralgic in your case.

Please upload Bone scan report, MRI image/report so that I can advise you better. Please take a neurosurgical consultation also.
Hope I have answered your query.If you have some follow up questions,I shall be glad to answer else,please close the thread-rate it and write a review.

Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Prasad