Pregnancy and Aggressive Angioma: A Very Rare Entity: Case Report and Literature Review

Vertebral hemangiomas (VH) are common benign tumors, often asymptomatic. Their clinical presentation during pregnancy is rare. We report the case of a 38-year-old woman at 37 weeks of pregnancy, admitted for progressive paraplegia caused by an aggressive VH at the D5 level. MRI revealed spinal cord compression, necessitating a cesarean section followed by laminectomy and cementoplasty. The growth of VH during pregnancy is facilitated by hemodynamic and hormonal changes. Treatment involves surgery, with embolization as an option to reduce bleeding, and radiotherapy in the postpartum period. This rare case highlights the importance of early diagnosis and multidisciplinary management.