Cervical spinal cord compression due to an osteochondroma in hereditary multiple exostosis: case report and review of the literature

被引：36

作者：

Giudicissi-Filho, Miguel ^{[1
]}

M. de Holanda, Carlos Vanderlei ^{[1
]}

Borba, Luis Alencar B. ^{[1
]}

Rassi-Neto, Aziz ^{[1
]}

Ribeiro, Carlos Alberto A. ^{[1
]}

de Oliveira, Jean Goncalves ^{[1
]}

机构：

[1] Hosp Beneficencia Portuguesa Sao Paulo, Dept Neurosurg, Ctr Neurol & Neurosurg Associates, BR-01323030 Sao Paulo, Brazil

来源：

SURGICAL NEUROLOGY | 2006年 / 66卷

关键词：

cervical myelopathy; diaphyseal aclasis; exostoses; hereditary multiple exostosis; osteochondroma; Ehrenfried disease;

D O I：

10.1016/j.surneu.2006.05.057

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: Hereditary multiple exostosis is a benign disorder characterized by multiple osteochondromas affecting long and flat bones, although occasionally vertebral column involvement can be seen. Cervical spinal cord compression in HME is a rare condition. The objective of this manuscript is to describe a rare case of cervical myelopathy due to an exostosis arising from C7 in a patient with HME and a comprehensive review of the current literature. Case Description: We describe a case of HME in an 18-year-old girl with myelopathy characterized by quadriparesis due to an osteochondroma arising from the lamina of C7. The patient underwent surgery, and a laminectomy was performed with a complete removal of the exostosis and spinal cord decompression. One month after surgery, patient presented an excellent recovery without neurologic deficits. Conclusions: Cervical spinal cord compression resulting from osteochondroma is an extremely serious complication of HME. Neurosurgical approach should be recommended in order to achieve a spinal cord decompression, which usually results in excellent functional recovery. (c) 2006 Elsevier Inc. All rights reserved.

引用

页码：S7 / S11

页数：5

共 44 条

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