Schlezinger and Ungar (11), in 1939, were among the first Americans to emphasize the unquestionable value of the roentgen rays in the primary treatment of hemangioma of the vertebra with secondary compression myelopathy.
Treatment consisted in laminectomy followed by roentgen irradiation. Since then, numerous cases haveappearedin the literature.īailey and Bucy (1), in 1929, were the first in this country to report a case of hemangioma of the vertebra associated with compression of the spinal cord. Until that time only 8 cases of vertebral hemangioma associated with compression myelopathy had been reported, the diagnosis having invariably been made at autopsy. It was not until 1926, however, that the presently accepted characteristic roentgenographic features of the lesion were brought to our attention by Perman (11). Probably the first description of associated neurologic manifestations was presented by Gerhardt (Germany) in 1895 (8). Although such lesions had undoubtedly been recognized much earlier, Virchow was the first to report the presence of a vertebral hemangioma in 1863. Hemangioma of the vertebra, which in most instances is encountered as an incidental roentgen finding, becomes a lesion of prime importance when it is associated with compression of the spinal cord.
0 kommentar(er)
