RT Journal Article SR Electronic T1 Acute compressive myelopathy due to vertebral haemangioma JF BMJ Case Reports FD BMJ Publishing Group Ltd SP bcr2013200408 DO 10.1136/bcr-2013-200408 VO 2014 A1 Mohamed Macki A1 Mohamad Bydon A1 Paul Kaloostian A1 Ali Bydon YR 2014 UL http://casereports.bmj.com/content/2014/bcr-2013-200408.abstract AB A 47-year-old woman with a history of anaemia presented to the emergency room with an acute onset of leg weakness. Physical examination of the bilateral lower extremities was significant for 0/5 muscle strength in all muscle groups with decreased pinprick and temperature sensation. A sensory level at the umbilicus was appreciated. Fine touch and proprioception were preserved. Bowel and bladder function were intact. CT revealed several thoracic, vertebral haemangiomatas. An MRI was suggestive of an epidural clot at the T8–T10-weighted posterior epidural space. At the level of the lesion, the cerebrospinal fluid space was completely effaced, and the flattened spinal cord exhibited signs of oedema and compressive myelopathy. The patient immediately underwent surgical decompression of the spinal cord. An epidural clot and vessel conglomeration were identified. A postoperative spinal angiogram confirmed the diagnosis of vertebral haemangioma. At 1-month follow-up, the patient regained strength and sensation.