Horner Syndrome due to a Solitary Osteochondroma of C7

Zhao, Chang-Qing; Jiang, Sheng‐Dan; Jiang, Lei‐Sheng; Dai, Li-Yang

doi:10.1097/brs.0b013e3180bc225d

Cited by 20 publications

(9 citation statements)

References 16 publications

(17 reference statements)

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“…10 Spinal involvement is rare. [11][12][13] Only 1.3-4.1% of solitary osteochondromas arise in the spine, 14 where they constitute up to 0.4% of intraspinal tumors or 3.9% of solitary spinal tumors. 5 Unlike pedunculated long bone osteochondromas, vertebral osteochondromas are sessile.…”

Section: Discussionmentioning

confidence: 99%

Cervical osteochondroma with neurological symptoms: literature review and a case report

Lotfinia

Vahedi

Aeinfar

et al. 2017

Spinal Cord Ser Cases

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Spinal cord compression is uncommon in spinal osteochondromas because in most cases the tumor grows out of the spinal column. To prevent neurological compromise, complete surgical removal is mandatory when an intraspinal osteochondroma with cord compression is diagnosed, which also helps to prevent recurrence. Our literature review of similar cases indicates that despite the old belief that C2 is the most commonly involved vertebra for osteochondromas, C1 is actually the most commonly involved vertebra in the cervical region.

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Section: Discussionmentioning

confidence: 99%

Cervical osteochondroma with neurological symptoms: literature review and a case report

Lotfinia

Vahedi

Aeinfar

et al. 2017

Spinal Cord Ser Cases

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“…The incidence of neurological symptoms including myelopathy and radiculopathy caused by the tumor was 0.5–1 % (Brastianos et al 2005 ; Ratliff and Voorhies 2000 ). Rare osteochondroma arising anteriorly from the cervical vertebral body can compress the surrounding tissues, and cause dysphagia (Grivas et al 2005 ; Wong et al 2013 ), sleep apnea (Wang and Chou 2009 ), respiratory distress, vocal cord paralysis (Certo et al 2014 ), and Horner syndrome (Zhao et al 2007 ). Moreover, Certo et al ( 2014 ) reported the correlation between tumor development and presence of diffuse idiopathic skeletal hyperostosis.…”

Section: Discussionmentioning

confidence: 99%

Cervical myelopathy due to a solitary osteochondroma: a case report

Asari¹,

Echigoya²,

Sasaki³

et al. 2016

SpringerPlus

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IntroductionOsteochondroma is the most common benign bone tumor. However, the incidence of osteochondroma in the spine is reported to be very rare.Case descriptionThis report presents the case of a 57-year-old man who suffered from osteochondroma of the cervical spine. He had bilateral lower extremity pain for 3 years, developing pain of right upper extremity and gait disturbance. Plain radiographic images and computed tomography scans showed bony lesion in right C6/7 foramen and C6 lamina. Magnetic resonance images of whole spine showed severe compression of spinal cord at the C6/7 and spinal canal stenosis at the L3/4 level. First, we performed a surgery of the cervical spine, and removed the tumor covered with the cartilaginous cap. The pathological diagnosis of the tumor was osteochodroma. After the surgery, the symptoms on his right upper extremity improved smoothly. Because the bilateral lower extremity pain remained, a L3/4 partial laminectomy was performed 1 month later, and the symptom improved. At 1 year after his primary operation, we could not find a recurrence of the tumor.ConclusionsIt is very important to perform a complete en bloc resection of the tumor (especially cartilaginous cap) to prevent the recurrence.

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“… 4 The patient reported here was in her fifth decade of life (42 years of age), an age group in which only 5% of the diagnoses are made. 5 …”

Section: Discussionmentioning

confidence: 99%

“…Occurrences in the ischium are uncommon and account for 0.4% of the cases. 5 They can be solitary or multiple. The latter are associated with multiple hereditary exostosis, which is an autosomal dominant syndrome.…”

Section: Discussionmentioning

confidence: 99%

Solitary ischial osteochondroma: an unusual cause of sciatic pain: case report

Moraes

Silva

Amaral

et al. 2014

Revista Brasileira de Ortopedia (English Edition)

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The aim was to report on a rare case of osteochondroma of the left ischium, which evolved with compression of the sciatic nerve, thus causing sciatic pain in the homolateral lower limb. The patient was female and presented sciatic pain that was treated clinically for one year. However, the pain evolved with increasing intensity and worsened with hip movement. This was associated with diminished motor force and paresthesia of the homolateral lower limb. Radiological investigation of the region showed a bone lesion in the external portion of the left ischium, in the path of the sciatic nerve. Tomographic reconstruction showed cortical continuity with the bone of origin, i.e., a pattern characteristic of osteochondroma. En-bloc resection of the lesion was performed using the Kocher-Langerbeck route, and the anatomopathological analysis proved that it was an osteochondroma. The patient's neurological symptoms improved and, after two months of follow-up, she remained asymptomatic and without any signs of recurrence. Since osteochondroma is the commonest benign bone tumor, it should be taken into consideration in the diagnostic investigation of compressive tumor lesions that could affect the sciatic nerve.

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Horner Syndrome due to a Solitary Osteochondroma of C7

Cited by 20 publications

References 16 publications

Cervical osteochondroma with neurological symptoms: literature review and a case report

Cervical osteochondroma with neurological symptoms: literature review and a case report

Cervical myelopathy due to a solitary osteochondroma: a case report

Solitary ischial osteochondroma: an unusual cause of sciatic pain: case report

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