Solitary osteochondroma of dorsal spine causing canal stenosis with myelopathy – A case report with review of literature
| Autor: | Paul Sudhakar John, Ashish Acharya, Ankita Khurana, Sarvpreet Singh Grewal, Ravindra Kumar Bind |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Solitary Osteochondroma
Osteochondroma medicine.medical_specialty medicine.medical_treatment Case Report Spinal cord compression Benign tumor 03 medical and health sciences Myelopathy 0302 clinical medicine medicine Spinal canal business.industry Laminectomy medicine.disease Spine Stenosis medicine.anatomical_structure 030220 oncology & carcinogenesis Surgery Neurology (clinical) Radiology business 030217 neurology & neurosurgery |
| Zdroj: | Surgical Neurology International |
| ISSN: | 2152-7806 |
| DOI: | 10.25259/sni_310_2020 |
| Popis: | 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. Postoperatively, the patient’s symptoms resolved. Histologically, the lesion was an osteochondroma. Conclusion: When patients present with myelopathy, one should include osteochondromas among the differential diagnostic possibilities. |
| Databáze: | OpenAIRE |
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