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¹Sakarya Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, Sakarya, Türkiye
²Sakarya Eğitim ve Araştırma Hastanesi, Radyoloji Kliniği, Sakarya, Türkiye Vertebral hemangiomas are slow-growing benign lesions but can be confused with metastatic lesions when they are active. An accurate differential diagnosis can be made by radiological examinations. Most hemangiomas found radiologically are asymptomatic. They can rarely cause neurological symptoms as a result of compression, and treatment is necessary in order to prevent neurological deficits. We found two hemangiomas at L4 and S3 vertebras mimicking vertebral metastasis according to their signal characteristics and posterior component on magnetic resonance imaging (MRI) and computerized tomography (CT) images in a 21-year-old male patient. We diagnosed the patient as hemangioma due to the radiological features and suggested surgery. The patient refused surgical treatment but benefited from medical treatment. Anahtar Kelimeler : Vertebral hemangioma, Metastatic lesion, Pitfalls