1/24. osteochondroma with compression of the spinal cord. A report of two cases.We report two cases of vertebral osteochondroma. In one patient a solitary cervical lesion presented as entrapment neuropathy of the ulnar nerve and in the other as a thoracic tumour associated with hereditary multiple exostoses producing paraplegia. We highlight the importance of an adequate preoperative evaluation in such patients.- - - - - - - - - - ranking = 1keywords = nerve (Clic here for more details about this article) |
2/24. Isolated musculocutaneous neuropathy caused by a proximal humeral exostosis.We report an isolated musculocutaneous neuropathy caused by a proximal humeral osteochondroma that became symptomatic after the patient played recreational basketball. Lesion resection resulted in complete deficit resolution. Mass lesions involving the musculocutaneous nerve should be considered in patients with atraumatic, isolated musculocutaneous neuropathies that are recurrent or fail to recover, even in the setting of strenuous exercise.- - - - - - - - - - ranking = 1keywords = nerve (Clic here for more details about this article) |
3/24. Hyperostotic macrodactyly and lipofibromatous hamartoma of the median nerve associated with carpal tunnel syndrome.A new case with 14-year follow-up of an extremely rare variety of congenital hand macrodactyly is presented. The disease characteristically presents a diffuse proliferation of fibrofatty tissue, but in this special type, osteocartilaginous deposits around the joints can also be found. The case presented included the troublesome feature of a lipofibromatous hamartoma in the median nerve at the wrist and its branches producing carpal tunnel syndrome. The patient obtained benefit from carpal tunnel release and epineurolysis. The hyperostotic development was managed with conservative resection of the periarticular osteochondromas. The literature reviewed suggests that the hyperostotic cases of macrodactyly do not differ from general cases of this congenital condition, except for the osteochondral deposits. These tumours develop during adulthood or after previous trauma, before epiphyseal closure.- - - - - - - - - - ranking = 135.59487374536keywords = median nerve, nerve, median (Clic here for more details about this article) |
4/24. A solitary osteochondroma of the pediatric thoracic spine: a case report and review of the literature.The objective of this study design is to describe the diagnosis and successful treatment of a pediatric patient with an osteochondroma of the thoracic spine. An osteochondroma is a bone tumor that rarely occurs in the thoracic spine, especially in the pediatric population. A simple painless mass may be the only presenting symptom. The laboratory findings are usually nonspecific. Radiographs may be nondiagnostic in certain cases, and computed tomography is the imaging modality of choice. The diagnosis, treatment, and outcome of a pediatric patient with an osteochondroma of the thoracic spine, including a possible genetic predisposition, are reviewed, along with a complete review of the literature. Anteroposterior and lateral plain radiographs illustrated a well-defined solid mass arising from the posterior elements of the tenth thoracic vertebrae. A computed tomography (CT) scan further delineated that the mass arose from the spinous process with no obvious impingement of the nerve roots. After excision of the lesion, gross pathological and histologic evaluation was consistent with an osteochondroma. The use of CT allowed accurate diagnosis of the osteochondroma. This led to appropriate surgical intervention, resulting in definitive treatment.- - - - - - - - - - ranking = 1keywords = nerve (Clic here for more details about this article) |
5/24. osteochondroma of the cervical spine causing occipital nerve neuralgia. Case report.osteochondroma is a rare tumor of the cervical spine. The authors present a rare case of osteochondroma narrowing the C 1/2 foramen and causing occipital neuralgia. Complete removal of the tumor was performed with release of the pain. The literature is reviewed and etiology, diagnosis, treatment and differential diagnosis are discussed.- - - - - - - - - - ranking = 4keywords = nerve (Clic here for more details about this article) |
6/24. peroneal nerve palsy secondary to proximal fibular osteochondroma--a case report.The author reports a case of a 11-year old child presented with peroneal nerve entrapment secondary to proximal fibular osteochondroma, with complete recovery of function following the excision of the tumor.- - - - - - - - - - ranking = 5keywords = nerve (Clic here for more details about this article) |
7/24. Radiation-induced osteochondroma of the T4 vertebra causing spinal cord compression.A case of a radiation-induced osteochondroma arising from the vertebral body of T4 in an 18-year-old man is reported. The patient presented with a history of progressive left lower extremity weakness. At 7 years of age, he had undergone resection of a cerebellar medulloblastoma and received adjunctive craniospinal irradiation and systemic chemotherapy. Both CT and MR imaging revealed an extradural mass contiguous with the posteroinferior endplate of the T4 vertebral body. This case indicates that radiation-induced osteochondroma should be considered in the differential diagnosis of patients with symptoms of myelopathy or nerve root compression and a history of radiation therapy involving the spine in childhood.- - - - - - - - - - ranking = 1keywords = nerve (Clic here for more details about this article) |
8/24. Case report: solitary pelvic osteochondroma presenting with L3 nerve root compression.osteochondroma is the most common benign bone tumor, comprising 40% of benign bone tumors. Typically they are found in adolescents growing on long bones such as the femur or radius and are clinically obvious. Very rarely, osteochondromas grow in the pelvis where they can reach a large size and present in more subtle ways. We describe an unusual case of a solitary osteochondroma in an otherwise healthy 29 year-old male presenting with signs and symptoms of an L3 nerve root compression.- - - - - - - - - - ranking = 5keywords = nerve (Clic here for more details about this article) |
9/24. osteochondroma in the lumbar spinal canal causing sciatic pain: report of two cases.A search of the English-language medical literature found only two cases in which expansion of an osteochondroma into the lumbar spinal canal caused sciatica. We report another two cases of spinal nerve root compression by solitary lumbar spinal canal osteochondromas: in a 56-year-old man and a 55-year-old woman with no history of hereditary multiple exostoses. Osteochondromas compressing the spinal nerve root were seen at the inferior articular processes of the lumbar vertebrae by computed tomography (CT), three-dimensional reconstruction of CT scans, myelography, and magnetic resonance imaging. The symptoms disappeared after surgical removal of the lesions. Histopathologic examination confirmed the diagnosis of benign osteochondroma.- - - - - - - - - - ranking = 2keywords = nerve (Clic here for more details about this article) |
10/24. Trevor disease of the spine. Case report.The authors report the case of a 15-year-old boy who presented with left shoulder pain and paresthesia of the left hand. Imaging studies revealed an osseous lesion compressing the C-8 nerve root. The patient underwent tumor resection followed by instrumentation-augmented fusion. Histological findings were consistent with osteochondroma. The tumor most likely originated from the articular cartilage between the first rib and T-1 or between C-7 and T-1. The correct diagnosis, therefore, was dysplasia epiphysialis hemimelica (DEH), also known as Trevor disease. To the authors' knowledge, this is the first report of DEH involving the spine.- - - - - - - - - - ranking = 1keywords = nerve (Clic here for more details about this article) |
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