Radiological Imaging Findings of a Case with Vertebral Osteoid Osteoma Leading to Brachial Neuralgia (original) (raw)

Osteoid osteoma like unusual cause of cervico-brachialgia

2017

Objective: The aim of this study was to describe a case in which an unusual osteoid osteoma was located into the articular process of C6. Summary of background data: Osteoid osteoma is a small, benign, osteoblastic skeletal neoplasm that constitutes up 10% of all benign bone tumors of the spine, observed in patients younger than 30 years of age with a resistant localized neck pain, especially at night, that is noticeably relieved taking acetylsalicylic acid. In the cervical spine the injury is frequently located in the immediate vicinity of vertebral artery, of the spinal cord, and/or the nerve roots so this often renders its excision difficult and risky. Methods.: A 20 years-old man presented us with a severe pain in the cervical and reported a history of worsening cervicobrachialgia with the emphasis on night and a significant benefit after taking acetylsalicylic acid. Results: MRI with T1 weighting showed a diffuse hypointensity signal area in the right joint process of C6 and a focal high signal area on T2 weighting images. The X-ray examination and CT examination clearly showed a oval lesion surrounded by an area of sclerosis on the right articular process of C6 which formed the medial wall of the right vertebral artery foramen. The three-phase [Tc-99] MDP bone scan was positive. After Radiological studies we made diagnosis of osteoid osteoma of the right articular process of C6 and decided for surgical excision of the lesion. Conclusion: The osteoid osteoma of the cervical spine should be suspected in any young patient with cervicobrachial or neck pain especially if the pain gets worse at night and surgical treatment is the definitive treatment and complete excision of the tumor leads to a rapid and permanent improvement of pain symptoms.

Thoracic spine osteoid osteoma

European Journal of Radiology Extra, 2003

A case report of an adult patient with an osteoid osteoma of the lamina of 9th thoracic vertebra is presented. The long history of progressively worsening nocturnal dorsal pain which was relieved by non-steroid anti-inflammatory drugs, and an essentially clinical examination, are typical of this condition in which the CT and radionuclide bone scans are the investigation of choice. Complete relief was obtained following excision of the lesion. The literature is reviewed. #

Symptomatic resolution of spinal osteoid osteoma with conservative management: imaging correlation

Skeletal Radiology, 2007

A 10-year-old girl presented with a history of painful scoliosis. Imaging performed, including computed tomography (CT) and magnetic resonance imaging (MRI), demonstrated a lesion with radiological features consistent with an osteoid osteoma (OO) of the 6th thoracic vertebra. The patient was treated conservatively with non-steroidal antiinflammatory drugs (NSAIDs). Over eight months of clinical and radiological surveillance, she became entirely asymptomatic and demonstrated complete resolution of the scoliotic curve. The CT and MRI features of the osteoid osteoma during the period of surveillance are presented and are correlated with the corresponding clinical features.

Painful Scoliosis and Osteoid Osteoma of the Spine

Journal of Turkish Spinal Surgery

Objective: Osteoid osteoma (OO) is a benign tumor seen mostly in the second decades of life. Posterior elements are usually affected, and atypical scoliosis can occur in these patients. Aim of this study is to evaluate the results of surgical treatment in OO and to evaluate the fate of scoliosis. Materials and Methods: Between 2005 and 2018, online hospital database search was conducted for a diagnosis of OO in the spine. Patient records were evaluated for recurrence and called for last follow-up. Results: There were twelve patients (eight male, four female) operated due to spinal OOs, included in the study. Mean follow-up was 67.8 (13 to 139.7) months. Open surgery or radiofrequency ablation (RFA) were used for surgical treatment. Scoliosis was present in seven patients, and spontaneous correction was achieved postoperatively. Conclusion: Atypical scoliosis may be the presenting symptom in juvenile and adolescents. Patients can be successfully treated by classic open surgery, and with RFA in last decade with a low recurrence rate. If the duration of symptoms is not prolonged and structural changes not occurred at diagnosis, spontaneous correction of scoliosis is achievable after treatment of spinal OOs.

Spinal Osteoid Osteoma Revealed by Radiculopathy: Case Report and Literature Review

International Journal of Spine Surgery, 2020

Osteoid osteoma (OO) is a benign tumor that usually occurs in long bones of young males. We report a rare case of spinal OO in a 25-year-old woman, revealed by a sciatica. Spinal radiographs and computed tomography scan were normal, although performed at 6 months of symptom evolution. On magnetic resonance imaging, however, an important edema of the right transverse process of L5 vertebrae was depicted but was inconclusive. The diagnosis of OO was finally retained on a second computed tomography scan with thinner slices focused on the edematous area. The patient had an en-bloc excision of the tumor with complete regression of symptoms. Due to the atypical clinical presentation and the absence of common findings in imaging, the diagnosis was delayed by 12 months. Radiculopathy caused by spinal OO is a rare condition with no more than 30 cases reported in the literature. In fact, spinal OO usually presents with inflammatory back pain or painful scoliosis. This case emphasizes the importance of early suspicion and diagnostic interventions in the detection and treatment of OO.

Osteoid Osteoma of the Spine is an Important Cause of Back Pain:Two Cases and Review

Qatar Medical Journal

Two cases are reported and discussed of osteoid osteoma in the spines of two children, presenting as nocturnal low back pain irrelevant to any position or activity. Plain radiographs of the lumbosacral spine, Technetium-99 bone scan and computerized tomography (CT) were used to locate and verify the lesions. Both were then excised by open surgery and confirmed by a post-operative CT scan. A review of all the known and updated modalities of diagnosis and treatment is presented and it is emphasized that this uncommon lesion should be considered in the differential diagnosis of back pain in children.

Osteoid osteoma in the thorasic spine

Turkish neurosurgery, 2009

Osteoid osteoma is a benign skeletal neoplasm composed of osteoid and woven bone. The majority of the lesions arise in the cortex of long bones. Osteoid osteoma of the spine is a rare primary spine tumor and those located at the thoracal spine are even rarer. The usual treatment involves complete resection, including the nidus, or alternatively radiofrequency percutaneous ablation is performed. The authors present a 32-year-old female with an unusual localization of the osteoid osteoma in the thoracal spine where imaging modalities were not conclusive for the diagnosis. The T1 vertebra lesion was successfully resected via a posterior approach with T1 laminectomy, including right side C7 and T1 foraminotomies, and vertebroplasty were performed. Histopathology reported the lesion as an osteoid osteoma.

Painful Scoliosis Secondary to Posterior Rib Osteoid Osteoma: A Case Report and Review of Literature

Journal of Orthopedic and Spine Trauma, 2017

Osteoid Osteoma is the most common benign bone tumor often observed in long bones. Ribs involvement is very rare. In spinal involvement, it usually can cause painful scoliosis often seen in posterior component of spinal vertebral. A 15 year-old female with painful scoliosis, whose brace treatment was unsuccessful, is presented. In imaging investigations, her CT scan showed lytic lesions in the posterior of the seventh rib. She had a 30-degree painful scoliosis with right concave curve. Posterior part of the rib containing tumoral lesion was removed. Histopathological investigations showed a woven bone. Osteoid Osteoma was confirmed and the patient's pain was resolved several days after the surgery. Follow-up in 3 month after the surgery showed that the curve of spinal deformity was completely resolved. Rib osteoid osteoma can cause painful scoliosis in young people, and surgical excision can be a successful treatment. It seems that application of brace had no impact on reducing the patient's symptoms.