J Ratliff1, R Voorhies. 1. Department of Neurosurgery, Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, LA 70121, USA.
Abstract
STUDY DESIGN: Case report of a solitary osteochondroma of the cervical spine causing myelopathy in a 66-year-old woman. OBJECTIVES: To review the relevant literature and describe a highly unusual clinical manifestation of solitary osteochondroma. SUMMARY OF BACKGROUND DATA: Osteochondromas are common benign bony lesions that seldom occur in the axial skeleton. These lesions are more commonly reported with neural compression in cases of hereditary multiple exostoses (Bessel-Hagel syndrome, diaphyseal aclasis). METHODS: Chart review, review of relevant radiographic examinations and histopathologic specimens, clinical follow-up with examination, and literature review. RESULTS: Manifestation with new neurologic deficit in a 66-year-old patient was singular. CONCLUSIONS: Osteochondromas are unusual in the axial skeleton, and are rarely signaled by neural compression. Occurrence is generally in young adults in the second and third decades. Initial manifestation with a new neurologic deficit in a 66-year-old patient was highly unusual.
STUDY DESIGN: Case report of a solitary osteochondroma of the cervical spine causing myelopathy in a 66-year-old woman. OBJECTIVES: To review the relevant literature and describe a highly unusual clinical manifestation of solitary osteochondroma. SUMMARY OF BACKGROUND DATA: Osteochondromas are common benign bony lesions that seldom occur in the axial skeleton. These lesions are more commonly reported with neural compression in cases of hereditary multiple exostoses (Bessel-Hagel syndrome, diaphyseal aclasis). METHODS: Chart review, review of relevant radiographic examinations and histopathologic specimens, clinical follow-up with examination, and literature review. RESULTS: Manifestation with new neurologic deficit in a 66-year-old patient was singular. CONCLUSIONS:Osteochondromas are unusual in the axial skeleton, and are rarely signaled by neural compression. Occurrence is generally in young adults in the second and third decades. Initial manifestation with a new neurologic deficit in a 66-year-old patient was highly unusual.
Authors: Daniel M Sciubba; Mohamed Macki; Mohamad Bydon; Niccole M Germscheid; Jean-Paul Wolinsky; Stefano Boriani; Chetan Bettegowda; Dean Chou; Alessandro Luzzati; Jeremy J Reynolds; Zsolt Szövérfi; Patti Zadnik; Laurence D Rhines; Ziya L Gokaslan; Charles G Fisher; Peter Paul Varga Journal: J Neurosurg Spine Date: 2015-03-20
Authors: R Shane Tubbs; Grady E Maddox; Paul A Grabb; W Jerry Oakes; Aaron A Cohen-Gadol Journal: Childs Nerv Syst Date: 2009-07-17 Impact factor: 1.475