Basioccipital bone osteochondroma growing into the foramen magnum
| Autor: | Gavame M, Richard Shane Tubbs, Payman Vahedi, Iraj Lotfinia, Amir Vahedi |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Osteochondroma
Foramen magnum suboccipital medicine.medical_specialty Basioccipital bone business.industry skull base Case Report Suboccipital approach Transcondylar approach Neurovascular bundle medicine.disease Optimal management Far lateral Surgery medicine.anatomical_structure medicine osteochondroma Neurology (clinical) Radiology business |
| Zdroj: | Surgical Neurology International |
| ISSN: | 2152-7806 |
| DOI: | 10.4103/2152-7806.92937 |
| Popis: | Background: Osteochondroma is a common bone tumor and rarely affects the central nervous system. Although intraspinal osteochondromas are known to cause neurological deficits, intracranial osteochondromas with neurological compromise are very rare. Case Description: The authors report an exceptional case of a quadriparetic 73-year-old patient with a basioccipital bone osteochondroma growing into the foramen magnum. The embryology, differential diagnoses, and optimal management strategies are discussed. Conclusion: Although extremely rare, osteochondromas should be included in the differential diagnoses of tumors within the foramen magnum. For the tumors originating from the basioccipital bone, a simple medial suboccipital approach might suffice, while for ventral tumors, a far lateral transcondylar approach is necessary to avoid any neurovascular complications. Despite potentially catastrophic presenting symptoms, these tumors are pathologically benign and complete excision often results in long-term cure. To the best of our knowledge, this is the first report of an osteochondroma arising from the basiocciput. |
| Databáze: | OpenAIRE |
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