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Myelopathy and Quadriparesis due to Spinal Cord Compression of C1 Laminar Osteochondroma.

Er U, Simşek S, Yiğitkanlı K, Adabağ A, Kars HZ - Asian Spine J (2012)

Bottom Line: These lesions are reported more commonly with neural compression in cases associated with hereditary multiple exostosis.Computed tomography and magnetic resonance imaging in conjunction with plain radiograms is the neuroradiological modality of choice.The diagnosis and surgical excision of these tumors are important because they can cause spinal stenosis resulting in neural tissue compression and myelopathy.

View Article: PubMed Central - PubMed

Affiliation: Second Neurosurgery Clinic, Yıldırım Beyazıt Education and Research Hospital, Diskapi, Ankara, Turkey.

ABSTRACT
The aim of this paper is to show that osteochondromas of the cervical vertebrae can cause myelopathy and neck pain.The reported etiology, diagnosis, treatment and differential diagnosis were reviewed. Osteochondromas may present as a solitary lesion with no genetic component or as multiple lesions as a part of a genetic disorder known as hereditary multiple exostosis. Osteochondromas of the spine are rarely encountered in clinical practice. These lesions are reported more commonly with neural compression in cases associated with hereditary multiple exostosis. The authors describe a unusual clinical manifestation of a solitary osteochondroma located in the right posterior arch of the atlas. Complete removal of the tumor was performed resulting in the relief of neck pain and spastic quadriparesis. Although unusual, osteochondromas of the cervical spine must be considered in patients with persistent neck pain and progressive symptoms of myelopathy. Computed tomography and magnetic resonance imaging in conjunction with plain radiograms is the neuroradiological modality of choice. The diagnosis and surgical excision of these tumors are important because they can cause spinal stenosis resulting in neural tissue compression and myelopathy.

No MeSH data available.


Related in: MedlinePlus

Photomicrograph showing a thin, well formed cartilaginous cap with normal appearing chondrocytes over the normal bone and marrow (H&E, ×40).
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Figure 6: Photomicrograph showing a thin, well formed cartilaginous cap with normal appearing chondrocytes over the normal bone and marrow (H&E, ×40).

Mentions: Posterior decompression with a laminectomy of C1 was undertaken. The right aspect of the posterior arch of C1 was removed slowly, allowing the intended dura to expand (Figs. 4 and 5). A histological examination disclosed mature bony tissue with a transition to proliferating cartilage, which formed a cap. The diagnosis was osteochondroma (Fig. 6).


Myelopathy and Quadriparesis due to Spinal Cord Compression of C1 Laminar Osteochondroma.

Er U, Simşek S, Yiğitkanlı K, Adabağ A, Kars HZ - Asian Spine J (2012)

Photomicrograph showing a thin, well formed cartilaginous cap with normal appearing chondrocytes over the normal bone and marrow (H&E, ×40).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3302919&req=5

Figure 6: Photomicrograph showing a thin, well formed cartilaginous cap with normal appearing chondrocytes over the normal bone and marrow (H&E, ×40).
Mentions: Posterior decompression with a laminectomy of C1 was undertaken. The right aspect of the posterior arch of C1 was removed slowly, allowing the intended dura to expand (Figs. 4 and 5). A histological examination disclosed mature bony tissue with a transition to proliferating cartilage, which formed a cap. The diagnosis was osteochondroma (Fig. 6).

Bottom Line: These lesions are reported more commonly with neural compression in cases associated with hereditary multiple exostosis.Computed tomography and magnetic resonance imaging in conjunction with plain radiograms is the neuroradiological modality of choice.The diagnosis and surgical excision of these tumors are important because they can cause spinal stenosis resulting in neural tissue compression and myelopathy.

View Article: PubMed Central - PubMed

Affiliation: Second Neurosurgery Clinic, Yıldırım Beyazıt Education and Research Hospital, Diskapi, Ankara, Turkey.

ABSTRACT
The aim of this paper is to show that osteochondromas of the cervical vertebrae can cause myelopathy and neck pain.The reported etiology, diagnosis, treatment and differential diagnosis were reviewed. Osteochondromas may present as a solitary lesion with no genetic component or as multiple lesions as a part of a genetic disorder known as hereditary multiple exostosis. Osteochondromas of the spine are rarely encountered in clinical practice. These lesions are reported more commonly with neural compression in cases associated with hereditary multiple exostosis. The authors describe a unusual clinical manifestation of a solitary osteochondroma located in the right posterior arch of the atlas. Complete removal of the tumor was performed resulting in the relief of neck pain and spastic quadriparesis. Although unusual, osteochondromas of the cervical spine must be considered in patients with persistent neck pain and progressive symptoms of myelopathy. Computed tomography and magnetic resonance imaging in conjunction with plain radiograms is the neuroradiological modality of choice. The diagnosis and surgical excision of these tumors are important because they can cause spinal stenosis resulting in neural tissue compression and myelopathy.

No MeSH data available.


Related in: MedlinePlus