E Arasil1, A Erdem, N Yüceer. 1. Department of Neurosurgery, Faculty of Medicine, University of Ankara, Ibn-i Sina (Avicenna) Hospital, Turkey.
Abstract
STUDY DESIGN: A report of a patient with osteochondroma of the upper cervical spine causing radiculopathy. OBJECTIVES: The surgical treatment of this patient involved the complete removal of tumor and compression of neural structures. SUMMARY OF BACKGROUND DATA: Osteochondromas affect mostly the long bones. Involvement of spine by solitary osteochondromas is rare condition. The present report represents a case of spinal osteochondroma causing neurologic symptoms. METHODS: Cervical osteochondromas, best evaluated with routine magnetic resonance imaging and noncontrast computed tomography scans, rarely contribute to cervical nerve root compression. RESULTS: The patient's symptoms gradually resolved after gross total tumor removal. CONCLUSIONS: Symptomatic spinal osteochondromas are rare occurrences in an individual surgeon's experience. Computed tomography or magnetic resonance imaging are the imaging procedures of choice. In the majority of patients with myelopathy or radiculopathy, surgery results in complete relief of symptoms as demonstrated in this case.
STUDY DESIGN: A report of a patient with osteochondroma of the upper cervical spine causing radiculopathy. OBJECTIVES: The surgical treatment of this patient involved the complete removal of tumor and compression of neural structures. SUMMARY OF BACKGROUND DATA: Osteochondromas affect mostly the long bones. Involvement of spine by solitary osteochondromas is rare condition. The present report represents a case of spinal osteochondroma causing neurologic symptoms. METHODS: Cervical osteochondromas, best evaluated with routine magnetic resonance imaging and noncontrast computed tomography scans, rarely contribute to cervical nerve root compression. RESULTS: The patient's symptoms gradually resolved after gross total tumor removal. CONCLUSIONS: Symptomatic spinal osteochondromas are rare occurrences in an individual surgeon's experience. Computed tomography or magnetic resonance imaging are the imaging procedures of choice. In the majority of patients with myelopathy or radiculopathy, surgery results in complete relief of symptoms as demonstrated in this case.
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