Giant sacral aneurysmal bone cyst treated with endovascular embolization.
| Autor: | Lemos SS; Department of Neurosurgery, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal., Belo D; Department of Neurosurgery, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal., Gomes FV; Radiology Unit, Centro Hospitalar Lisboa Central, Lisboa, Portugal. |
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| Jazyk: | angličtina |
| Zdroj: | Surgical neurology international [Surg Neurol Int] 2023 Oct 20; Vol. 14, pp. 373. Date of Electronic Publication: 2023 Oct 20 (Print Publication: 2023). |
| DOI: | 10.25259/SNI_685_2023 |
| Abstrakt: | Background: Spine aneurysmal bone cysts (SABC) are osteolytic tumor-like lesions with cystic, blood-filled cavities that represent 15% of all primary spinal bone tumors. The sacrum is a rare site for SABC, and sacral lesions typically carry higher morbidity rates. Here, a 19-year-old female with a large primary multisegmental sacral SABC was successfully managed with 2-staged endovascular embolization. Case Description: A 19-year-old female presented with progressive worsening of axial lumbosacral pain, and a left L5/S1 radiculopathy. The lumbosacral computed tomography and magnetic resonance studies showed a large (10 cm [AP] × 11 cm [Tr] × 12 cm [CC]) heterogeneous, osteolytic lesion containing multiple fluid-fluid levels. The biopsy confirmed the diagnosis of a primary SABC. She was treated with a 2-staged endovascular embolization that resolved her pain. This was followed by radiographic confirmation of occlusion of the SABC. Conclusion: A 19-year-old female presented with an atypical SABC that was successfully managed with 2-staged endovascular embolization. Competing Interests: There are no conflicts of interest. (Copyright: © 2023 Surgical Neurology International.) |
| Databáze: | MEDLINE |
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