Solitary asymptomatic posterior vertebral intracanal cervical spine osteochondroma (original) (raw)
Related papers
Solitary osteochondroma of the cervical spine causing spinal cord compression
Acta orthopaedica Belgica, 2007
Osteochondromas are common benign tumours of bone that often occur in the metaphysodiaphyseal parts of long bones. They rarely occur in the spine. We present a case of solitary osteochondroma arising from the C-1 vertebral lamina, causing neurological symptoms. A 46-year-old man presented to our institution, complaining of pain and numbness originating from his neck and extending down to his left arm. Radiographs, CT and MRI showed a solitary benign appearing expansile bone tumour arising from the left vertebral lamina of C-1, spreading to C-2, exerting an eccentric posterolateral compression on the spinal cord in the left part of the spinal canal and causing stenosis of the left neural foramen between C-1 and C-2. The lesion was surgically explored through a posterior longitudinal incision. Leaving the left lateral mass of C-1 intact, a left hemilaminectomy was performed. The lesion and the part spreading to C-2 were excised, completely clearing the spinal cord compression. For pos...
A Rare Presentation of Cervical Spine Osteochondroma
Journal of orthopaedic case reports
Cervical spine osteochondromas are rare tumors that usually involve the posterior spinal elements. Osteochondromas of the cervical spine presenting anteriorly as a mass over the supraclavicular region has not been reported in the literature. A 12-year-old boy presented with right sided supraclavicular swelling. Plain radiographs revealed a bony mass. Computerized tomography (CT) and magnetic resonance imaging scans of the cervical region showed a bony mass arising from pedicle and encroaching onto lamina of C6 vertebra. He underwent excision biopsy of the mass through an anterior approach. The histopathological diagnosis was osteochondroma. At 4-year follow-up, he was asymptomatic and CT scan revealed no recurrence. Tumors arising from the posterior elements are difficult to diagnose by plain radiographs alone and require special imaging modalities to show their exact location, nature, and extent.
European Spine Journal, 2005
A 46-year-old female presented with a history of dysphagia due to a lump at the left side of her neck that had been there for a period of almost a year. Pain developed when the neck was turned to the right and it deflected to her left arm, or when local pressure was applied. Examining the lump by palpation, an osseous protuberance, a firmly attached to the cervical spine, was noticed at the base of the neck, over the left anterolateral aspect. Imaging assessment involved anteroposterior and lateral plain radiographs , Computer Tomograpy (CT), and Magnetic resonance imaging (MRI) scans of the cervical spine. Whole body bone scintigraphy completed the study.
Symptomatic Solitary Osteochondroma of the Subaxial Cervical Spine in a 52-Year-Old Patient
Asian Spine Journal, 2014
Osteochondromas are the most common benign tumors of the bone. They mostly arise from the appendicular skeleton and present clinically in the second or third decade of life. Ostechondromas arising from the subaxial cervical spine and presenting after the 5th decade of life are extremely rare. We report a 52-year-old male patient who presented with numbness and subjective weakness of left upper and lower limbs and neck pain, and had lobulated bony hard fixed swelling in the right lower cervical paraspinal region. Radiological images revealed a bony swelling arising from C4 and C5 lamina with a cartilaginous cap and intraspinal extension. Excision biopsy with stabilisation of the spine was performed. Histopathalogical examination of the specimen confirmed the diagnosis of osteochondroma. We conclude surgical excision of such rare tumors, including the cartilaginous cap as well as the intraspinal component can reliably produce a good clinical outcome.
Spinal osteochondroma diagnosed by computed tomography
Acta Neurochirurgica, 1981
This paper reports two cases of spinal osteochondroma, in whi& preoperative diagnosis was greatly facilitated by CT scan examination. Moreover, by giving a precise indication of turnout extent, as well as of its relationships with the adjacent structures, CT was of great value also with regard to surgical treatment. Personal experience with the present cases, as well as a review of pertinent literature, suggests that the following CT scan findings may be considered as typical of spinal osteochondroma: a) roundish, sharply-outlined mass; b) bone-like density, with scattered calcifications; c) paraspinal, dumb-bell, or eccentric intraspinal location; d) osteosclerotic &anges in neighbouring bone; e) lack of contrast enhancement. The value of CT scan examination in the diagnosis of vertebral tumours is stressed.
2012
BACKGROUND A new case of spinal cord compression by an isolated osteochondroma (OC) of the spinal canal arising from the posterior arch of the atlas is added to the 15 previously reported cases in the English-language medical literature. CASE PRESENTATION A 16-year-old male, with no signifi cant family history, presented with a history of suboccipital headache and progressively increasing quadriparaesis for duration of over 6 months with no bladder or bowel dysfunction. Physical examination revealed spastic quadriparaesis grade 4. INVESTIGATIONS Cervical CT scan with 3D reconstruction (fi gure 1), following a questionable plain radiograph, showed an intraspinal OC arising from the posterior arch of the atlas in the midline protruding into the spinal canal. MRI (fi gure 2) showed signifi cant compression of the spinal cord with high signal intensity of the cord at C1 level. TREATMENT The patient was taken up for surgery and a C1 laminectomy with excision of the bony mass in toto was performed. Peroperatively, dense fi brous adhesions were found between the dura and the mass which had to be meticulously dissected. Complete excision of the tumour was ascertained with a postoperative CT scan (fi gure 3) and the histopathology (fi gure 4) confi rmed the diagnosis of OC.
Surgical Neurology International, 2020
Background: Osteochondroma is a common benign tumor arising from the long bones. It rarely arises in the spine, where it can cause mild symptoms such as backache all the way up to compressive myelopathy. Malignant transformation has also been reported. Here, the authors present a 52-year-old male with myelopathy attributed to a rare thoracic solitary osteochondroma. Case Description: A 52-year-old male presented back pain radiating into both lower extremities with paresthesia to the toes of 1 year’s duration. On examination, he exhibited hyperactive bilateral lower extremity reflexes with bilateral Babinski signs, and focal sensory changes to pin, and touch appreciation in the left L5S1 distributions. Computed tomography and magnetic resonance imaging showed an abnormal bony mass arising from the posterior arch of T10 with protrusion into the spinal canal resulting in marked canal/cord compression. Surgery included a D10 laminectomy with en bloc resection of the lesion. Postoperativ...
A Fatal Case of Primary Osteogenic Sarcoma of Cervical Spine: A Rare Entity
Journal of Medical Science And clinical Research, 2017
Primary osteosarcoma of cervical spine is a rare condition with poor prognosis .The clinical, radiological as well as histopathological features of osteosarcoma vary widely, often leading to diagnostic difficulties. The report highlights the rarity of osteosarcoma of the cervical vertebra wherein the radiological and clinical findings suggested an infective pathology and histological findings remained the gold standard for final diagnosis of neoplastic etiology. A 21-year-old female presented with pain in the nape of the neck and tingling numbness in left upper & lower limb. On examination patient had quadriparesis. Radiological investigations were suggestive of infective etiology most likely Koch's causing involvement of C3-C5 vertebrae with prevertebral, paravertebral, parapharyngeal and intraspinal infective soft tissues abscess. She underwent C4 laminectomy with excision of the lesion and C1-C7 fixation with titanium Hartshil. The patient eventually died in the post-operative period. The intraoperative squash diagnosis was reported as a spindle cell tumor with malignant potential. The subsequent neuropathological diagnosis of C4 vertebral tumor on paraffin sections revealed characteristic features of osteogenic sarcoma (osteoblastic variant) showing osteoblastic giant cells and neoplastic growth of atypical spindle shaped cells arranged in sheets and trabeculae laying down mineralized osteoid and permeating the adjoining host bone. Early detection and accurate diagnosis is important for improving not only patient prognosis but also the quality of life. We should always consider this rare entity, particularly in young patients who present with intractable neck pain.
A Giant Cervical Osteochondroma
European Journal of General Medicine
A giant solitary osteochondroma in 17-year-old-boy was reported. Osteocondromas usually involves the long bones, scapulae, pelvic bones and seldom occurs in the axial skeleton. A 17-year-old boy presented with a swelling at the rear of the neck and an advanced degree of limitation in the movements of his neck. A hard mass sized approximately 7x8 cm was revealed in this region. Cervical x-ray and CT revealed the mass involving the sixth cervical vertebrae. Giant cervical osteochondroma operated and the mass was successfully excised. Osteochondromas that consists the largest portion of benign bone tumors at the spine is seldom. Therefore we are introducing a osteochondroma case located at the lower cervical region where an advance degree of limitation in neck movements that displays no any neurological symptoms and that reaches a very wide mass in size, and which is assumed as unusual.