However, long term follow up is mandatory. CT guided percutaneous transpedicular injection of absolute alcohol shows promising results. Several options are available for the management of symptomatic vertebral hemangiomas and multiple modalities may have to be used for a single patient. On the MRC grade, 11 patients had improved, one was grade 5 pre and postoperative, while one did not improve. Ten patients improved on the Ranawat grade by the time of discharge. In the surgical group, 6 patients had cavernous type and 2 patients had mixed type of hemangiomas. However, the focus of this communication is on 4 patients who underwent a CT guided percutaneous transpedicular injection of absolute alcohol into the affected vertebral body. One patient underwent only endovascular embolization. One patient had vertebrectomy and stabilization with preoperative embolization. Seven patients had laminectomy and soft tissue component excision, of which one had intraoperative injection of absolute alcohol and one had postoperative radiotherapy. Eight patients had multiple level involvement. Twelve patients had lesions in the thoracic and 1 in the sacral region. Thirteen consecutive cases with symptomatic vertebral hemangiomas, managed during a five year period from January 1995 at the Christian Medical College and Hospital, Vellore, were analysed. Management of symptomatic vertebral hemangiomas : review of 13 patients.ĭepartment of Neurological Sciences, Christian Medical College and Hospital, Vellore - 632 004, India.