STUDY DESIGN: Case report and review of the literature. OBJECTIVE: To report a 23-year-old woman with osteochondroma of the lower cervical spine who presented with Horner syndrome and to review the relevant literature. SUMMARY OF BACKGROUND DATA: Osteochondroma is the most common benign lesion of bone but rarely affects the spine. METHODS: Clinical history, routine radiographs, and computed tomography study of the patient were described. A review of the relevant literature was also done. RESULTS: The patient demonstrated a complete disappearance of clinical symptoms on the follow-up examination 60 days after surgery. No patients with Horner syndrome due to a solitary cervical osteochondroma have been previously reported in English-language medical literature. CONCLUSION: Vertebral involvement of osteochondroma is rare, especially with neurologic compromise. A young patient is presented with a symptomatic solitary osteochondroma of the seventh cervical vertebra who had Horner syndrome. This case report supports surgical intervention of symptomatic osteochondroma of the cervical spine.
STUDY DESIGN: Case report and review of the literature. OBJECTIVE: To report a 23-year-old woman with osteochondroma of the lower cervical spine who presented with Horner syndrome and to review the relevant literature. SUMMARY OF BACKGROUND DATA: Osteochondroma is the most common benign lesion of bone but rarely affects the spine. METHODS: Clinical history, routine radiographs, and computed tomography study of the patient were described. A review of the relevant literature was also done. RESULTS: The patient demonstrated a complete disappearance of clinical symptoms on the follow-up examination 60 days after surgery. No patients with Horner syndrome due to a solitary cervical osteochondroma have been previously reported in English-language medical literature. CONCLUSION: Vertebral involvement of osteochondroma is rare, especially with neurologic compromise. A young patient is presented with a symptomatic solitary osteochondroma of the seventh cervical vertebra who had Horner syndrome. This case report supports surgical intervention of symptomatic osteochondroma of the cervical spine.
Authors: Frederico Barra de Moraes; Paulo Silva; Rogério Andrade do Amaral; Frederico Faleiro Ramos; Rômulo Orlando Silva; Diogo Azevedo de Freitas Journal: Rev Bras Ortop Date: 2014-04-25