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What Causes Intraosseous Hemangioma?
Question: I have a intraosseous hamangloma , I had an MRI BEFORE AND THE DOCTOR SAID THAT I HAVE A SPINE COMPRESSION AND NOW AFTER A SECOND MRI another doctor said that I have that ,I am confused
Brief Answer:
Both are correct.
Detailed Answer:
Hi,
Thanks for your query.
I'm Dr. Sudhir Kumar,
After going through your query I concluded that you're having intraosseous hemangioma. Most haemangiomas are asymptomatic. Collapse(compression) of the vertebral body is some of the classic causes of pain. I think you have got intraosseous hemangioma which has lead to compression fracture of vertebra. So in this sense both doctors are correct.
Treatment for most hemangiomas is not necessary. Analgesics such as ibuprofen and rest till compression heals is only required treatment.
When neurological deficits or severe pain treatment is necessary. There are many options which must be weighed. Radiotherapy, balloon kyphoplasty or transarterial embolisation with associated laminectomy are some of those options . Serious bleeding can be a complication so care must be taken when undergoing open procedures.
You can discuss with your treating Doctor about it.
Hope I have answered your query.
If you have any further questions I will be happy to help.
Wishing you good health.
Take care.
Both are correct.
Detailed Answer:
Hi,
Thanks for your query.
I'm Dr. Sudhir Kumar,
After going through your query I concluded that you're having intraosseous hemangioma. Most haemangiomas are asymptomatic. Collapse(compression) of the vertebral body is some of the classic causes of pain. I think you have got intraosseous hemangioma which has lead to compression fracture of vertebra. So in this sense both doctors are correct.
Treatment for most hemangiomas is not necessary. Analgesics such as ibuprofen and rest till compression heals is only required treatment.
When neurological deficits or severe pain treatment is necessary. There are many options which must be weighed. Radiotherapy, balloon kyphoplasty or transarterial embolisation with associated laminectomy are some of those options . Serious bleeding can be a complication so care must be taken when undergoing open procedures.
You can discuss with your treating Doctor about it.
Hope I have answered your query.
If you have any further questions I will be happy to help.
Wishing you good health.
Take care.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Good morning doctor?
Let me give you a history of my situation ,in 2013 I fall from a chair and chair fall underneath my back and from that time I had pain in my back,the first MRI shows fraction and now untraosseus isn't that contradctictory?
Let me give you a history of my situation ,in 2013 I fall from a chair and chair fall underneath my back and from that time I had pain in my back,the first MRI shows fraction and now untraosseus isn't that contradctictory?
Brief Answer:
Intraosseous hemangioma may be cause of fracture
Detailed Answer:
Hi
Welcome back
I have gone through your query and follow up query and understand your concern.
Fracture shown in the old MRI report may be because of hemangioma and probably hemangioma was not diagnosed as a cause of vertebral fracture(compression). So it is not contradictory but hemangioma as a cause of fracture was missed in first MRI.
Please upload the reports of MRI so that I can understand better. Please also tell exact date of fall and from how much time after that fall 1st and 2nd MRI were done. Rest has been already been discussed.
You can discuss with your treating Doctor about it.
Hope I have answered your query.
If you have any clarification then I will be happy to help you.
If you have no clarification then you can close the query and rate the answer.
Wishing you good health.
Take care.
Intraosseous hemangioma may be cause of fracture
Detailed Answer:
Hi
Welcome back
I have gone through your query and follow up query and understand your concern.
Fracture shown in the old MRI report may be because of hemangioma and probably hemangioma was not diagnosed as a cause of vertebral fracture(compression). So it is not contradictory but hemangioma as a cause of fracture was missed in first MRI.
Please upload the reports of MRI so that I can understand better. Please also tell exact date of fall and from how much time after that fall 1st and 2nd MRI were done. Rest has been already been discussed.
You can discuss with your treating Doctor about it.
Hope I have answered your query.
If you have any clarification then I will be happy to help you.
If you have no clarification then you can close the query and rate the answer.
Wishing you good health.
Take care.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Hi Doctor ,
I upload the 2 MRI that I received please let me know what going on with my situation .
thank you
I upload the 2 MRI that I received please let me know what going on with my situation .
thank you
Brief Answer:
One has missed mild compression deformity.
Detailed Answer:
Hi
Welcome back
I have gone through your query and follow up queries and understand your concern.You have fall from chair in 2013 .It might lead to mild compression deformity after healing of compression fracture. After healing this mild compression deformity will seen in all MRI but as bone has healed and it otherwise looks normal except minor compression deformity(it means a slight change in shape). One of reporter has missed it considering it as normal shape as it was mild. Hemangiomas are present in both the MRI reports and these seems to asymptomatic.There is disc bulge at T8-T9 Level but is insignificant in both MRI.You can show the previous report to your current radiologist to clear the doubt further.
Hope I have answered your query.
If you have any clarification then I will be happy to help you.
If you have no clarification then you can close the query and rate the answer.
Wishing you good health.
Take care.
One has missed mild compression deformity.
Detailed Answer:
Hi
Welcome back
I have gone through your query and follow up queries and understand your concern.You have fall from chair in 2013 .It might lead to mild compression deformity after healing of compression fracture. After healing this mild compression deformity will seen in all MRI but as bone has healed and it otherwise looks normal except minor compression deformity(it means a slight change in shape). One of reporter has missed it considering it as normal shape as it was mild. Hemangiomas are present in both the MRI reports and these seems to asymptomatic.There is disc bulge at T8-T9 Level but is insignificant in both MRI.You can show the previous report to your current radiologist to clear the doubt further.
Hope I have answered your query.
If you have any clarification then I will be happy to help you.
If you have no clarification then you can close the query and rate the answer.
Wishing you good health.
Take care.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
thank you so much ,last thing do you advice to have a second opinion about the second MRI because it is a lawsuit against my employer and I don't to miss my right that what happen to my back to due to the accident that happen at work
Brief Answer:
second opinion about the second MRI may be useful
Detailed Answer:
Hi
Welcome back
I have gone through your query and follow up queries and MRI reports.Yes it will be advisable to take second opinion about the second MRI.MRI first says that there are mild compression deformities of the T5 and T6 vertebral bodies while MRI second report says no compression deformities.So it will be advisable to take second opinion about the second MRI
Hope I have answered your query.
If you have any clarification then I will be happy to help you.
If you have no clarification then you can close the query and rate the answer.
Wishing you good health.
Take care.
second opinion about the second MRI may be useful
Detailed Answer:
Hi
Welcome back
I have gone through your query and follow up queries and MRI reports.Yes it will be advisable to take second opinion about the second MRI.MRI first says that there are mild compression deformities of the T5 and T6 vertebral bodies while MRI second report says no compression deformities.So it will be advisable to take second opinion about the second MRI
Hope I have answered your query.
If you have any clarification then I will be happy to help you.
If you have no clarification then you can close the query and rate the answer.
Wishing you good health.
Take care.
Above answer was peer-reviewed by :
Dr. Raju A.T
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