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Brown-Sequard Syndrome After Management of Vertebral Hemangioma With Intralesional Alcohol: A Case Report

Niemeyer, Thomas, MD*; McClellan, John, MD*; Webb, John, MD*; Jaspan, Tim, MD; Ramli, Norlisah, MD

Case Report

Study Design. This report describes Brown-Sequard syndrome after intralesional injection of absolute alcohol into vertebral hemangioma.

Objective. To discuss whether the described technique is safe in the management of vertebral hemangiomas.

Summary of Background Data. The management of vertebral hemangiomas remains controversial. There have been reports of successful management using intralesional absolute alcohol.

Methods. The clinical and radiologic features of the reported complication are detailed.

Results. Intralesional injection of absolute alcohol caused Brown-Sequard syndrome.

Conclusion. This case shows that intralesional alcohol injection cannot be considered a safe technique for management of vertebral hemangiomas with spinal cord compression.

From the *Centre for Spinal Studies and Surgery and the †Department of Radiology, Queens Medical Centre, University Hospital Nottingham, UK.

Acknowledgment date: September 10, 1998.

Acceptance date: December 8, 1998.

Address reprint requests to

Thomas Niemeyer, MD

Department of Orthopaedic Surgery

Westfalian-Wilhelms University

Münster D-48129


Device status category: 1.

© 1999 by Lippincott Williams & Wilkins