A cervical spine hemangioma in a 32-year-old woman is reported. Because of herniation of the mass between the deep muscles of the posterior triangle, the clinical differential diagnosis was confusing. The lesion required a two-stage procedure in conjunction with neurosurgical evaluation for total removal. The amount of bone destruction of the spine and exact location of the lesion are graphically displayed in a computed tomography (CT) scan of the neck. An arteriogram showing partial occlusion of the vertebral artery and a myelogram displaying extrinsic spinal cord compression, along with the CT scan, showed the full extent of the lesion.
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