Spinal aneurysmal bone cyst causing acute cord compression without vertebral collapse: CT and MRI findings

被引:40
作者
Chan, MSM
Wong, YC
Yuen, MK
Lam, D
机构
[1] Tuen Mun Hosp, Dept Diagnost Radiol, Tuen Mun, Hong Kong, Peoples R China
[2] Tuen Mun Hosp, Dept Orthopaed & Traumatol, Tuen Mun, Hong Kong, Peoples R China
关键词
children; aneurysmal bone cyst; spinal cord compression; MRI; CT;
D O I
10.1007/s00247-001-0648-5
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Aneurysmal bone cyst (ABC) of the spine can cause acute spinal cord compression in young patients. We report the CT and MRI findings in a histology-proven case of spinal ABC presenting with sudden paraplegia. Typical features of a spinal ABC at the thoracic level with considerable extension into the posterior epidural space and cord compression were demonstrated. Special note was made of the disproportionately large longitudinal extent of the epidural component of the lesion. Associated vertebral collapse was absent. A fracture of the overlying cortex had probably allowed the lesion to decompress and track along the epidural space without significantly jeopardizing integrity of the osseous structures. This case illustrates a less frequently recognised mechanism of acute spinal cord compression by ABC.
引用
收藏
页码:601 / 604
页数:4
相关论文
共 10 条
[1]   ANEURYSMAL BONE-CYSTS OF THE SPINE - REPORT OF 17 CASES [J].
AMELI, NO ;
ABBASSIOUN, K ;
SALEH, H ;
ESLAMDOOST, A .
JOURNAL OF NEUROSURGERY, 1985, 63 (05) :685-690
[2]   Aneurysmal bone cyst in children: Analysis of twenty-seven patients [J].
Bollini, G ;
Jouve, JL ;
Cottalorda, J ;
Petit, P ;
Panuel, M ;
Jacquemier, M .
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, 1998, 7 (04) :274-285
[3]   ANEURYSMAL BONE-CYST OF THE SPINE IN CHILDREN - MRI IMAGING AT 0.5-TESLA [J].
CARO, PA ;
MANDELL, GA ;
STANTON, RP .
PEDIATRIC RADIOLOGY, 1991, 21 (02) :114-116
[4]  
DAHLIN DC, 1986, BONE TUMORS GENERAL, P420
[5]   Aneurysmal bone cyst of the spine: 31 cases and the importance of the surgical approach [J].
de Kleuver, M ;
van der Heul, RO ;
Veraart, BEEMJ .
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, 1998, 7 (04) :286-292
[6]   ANEURYSMAL BONE-CYSTS OF SPINE [J].
HAY, MC ;
PATERSON, D ;
TAYLOR, TKF .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1978, 60 (03) :406-411
[7]   ANEURYSMAL BONE-CYST - CONCEPT, CONTROVERSY, CLINICAL PRESENTATION, AND IMAGING [J].
KRANSDORF, MJ ;
SWEET, DE .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1995, 164 (03) :573-580
[8]   From the archives of the AFIP - Primary tumors of the spine: Radiologic-pathologic correlation [J].
Murphey, MD ;
Andrews, CI ;
Flemming, DJ ;
Temple, HT ;
Smith, WS ;
Smirniotopoulos, JG .
RADIOGRAPHICS, 1996, 16 (05) :1131-1158
[9]   Aneurysmal bone cyst of the spine - Management and outcome [J].
Papagelopoulos, PJ ;
Currier, BL ;
Shaughnessy, VJ ;
Sim, FH ;
Ebersold, MJ ;
Bond, JR ;
Unni, KK .
SPINE, 1998, 23 (05) :621-628
[10]  
RESNICK D, 1995, DIAGNOSIS BONE JOINT, P3866