Sami Al Eissa, Mohammed Al Salman, Majed S. Abaalkhail, Mohammed Hassan Alshehri, Adeeb Rashid Almohimeed, Mohammed Benmeakel


Hereditary multiple exotoses patients are reported to have multiple osteochondromas that can present in the axial skeleton. Another entity of spine masses and lesions is Vertebral hemangiomas, which are well known for asymptomatic presentation and are classified as the most common begin lesions in the vertebral body.  No case was reported in literature and showed an association between HME and atypical hemangioma. We are presenting a 27-year-old man known case of HME, with a cord compression picture, and a pathological diagnosis of atypical intraosseous hemangioma. His MRI finding suggested an atypical mass with malignant features in T8-T9 level. Our report is shining a light on decreasing the threshold of suspicion when dealing with HME patients who are presenting with atypical back pain; and we recommend evaluating them thoroughly.


appearance benign hemangioma radiological pathological

Full Text:



Mcevoy SH, Farrell M, Brett F, Looby S. Haemangioma , an uncommon cause of an extradural or intradural extramedullary mass : case series with radiological pathological correlation. 2016:87-98. doi:10.1007/s13244-015-0432-y.

Bess RS, Robbin MR, Bohlman HH, Thompson GH. Spinal Exostoses Analysis of Twelve Cases and Review of the Literature. 2005;30(7):774-780.

Yakkanti R, Onyekwelu I, Carreon LY, Ii JRD. Solitary Osteochondroma of the Spine — A Case Series : Review of Solitary Osteochondroma With Myelopathic Symptoms. 2018;8(4):323-339. doi:10.1177/2192568217701096.

Zaijun L, Xinhai Y, Zhipeng W, Wending H, Quan H. Outcome and Prognosis of Myelopathy and Radiculopathy From Osteochondroma in the Mobile Spine. 2013;26(4):194-199.

Upadhyaya GK, Jain VK, Arya RK, Sinha S, Naik AK. Osteochondroma of Upper Dorsal Spine Causing Spastic Paraparesis in Hereditary Multiple Exostosis : A Case Report. 2015;9(12):10-12. doi:10.7860/JCDR/2015/14963.6948.

Khosla A, Martin DS, Awwad EE. The solitary intraspinal vertebral osteochondroma. An unusual cause of compressive myelopathy: features and literature review. Spine (Phila. Pa. 1976). 1999;24(1):77-81.

Kozlowski K, Beluffi G, Masel J, et al. Primary vertebral tumours in children. Report of 20 cases with brief literature review. Pediatr. Radiol. 1984;14(3):129-139.

Maheshwari A V, Jain AK, Dhammi IK. Osteochondroma of C7 vertebra presenting as compressive myelopathy in a patient with nonhereditary (nonfamilial/sporadic) multiple exostoses. Arch. Orthop. Trauma Surg. 2006;126(10):654-659. doi:10.1007/s00402-006-0211-9.

Ikuta K, Tarukado K, Senba H, Kitamura T. Cervical Myelopathy Caused by Disc Herniation at the Segment of Existing Osteochondroma in a Patient with Hereditary Multiple Exostoses. 2014;8(6):840-845.

Mesfin A, Ghermandi R, Castiello E, Donati DM, Boriani S. Secondary chondrosarcoma of the lumbar spine in hereditary multiple exostoses. Spine J. 2013;13(9):1158-1159. doi:10.1016/j.spinee.2013.03.056.

Du K, Lou Z, Zhang C, et al. Case Report Transpedicular Excision of a Thoracic Intraspinal Osteochondroma in a Patient with Hereditary Multiple Exostoses and Brown-Se ´ quard Syndrome. World Neurosurg. 2017;111:94-98. doi:10.1016/j.wneu.2017.12.054.

Solomon L. Hereditary Multiple Exostosis. 1964;16(3).

Bellasri S, Fatihi J, Elktaibi A, Cherif A, Asri E. Acute spinal cord compression caused by atypical vertebral hemangioma. 2018;8(3):275-277. doi:10.4103/jcvjs.JCVJS.

Boriani S, Weinstein JN, Biagini R. Primary bone tumors of the spine. Terminology and surgical staging. Spine (Phila. Pa. 1976). 1997;22(9):1036-1044.

Schrock WB, Wetzel RJ, Tanner SC, Khan MA. Aggressive hemangioma of the thoracic spine. J. Radiol. Case Rep. 2011;5(10):7-13. doi:10.3941/jrcr.v5i10.828.

Chen HI, Heuer GG, Zaghloul K, Simon SL, Weigele JB, Grady MS. Lumbar vertebral hemangioma presenting with the acute onset of neurological symptoms. Case report. J. Neurosurg. Spine 2007;7(1):80-85. doi:10.3171/SPI-07/07/080.


  • There are currently no refbacks.