Radiculopathy due to Osteochondroma of Articular Process of Cervical Spine. A Case Report.
Koshi Furusho, Shuji Ikebe
Abstract
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Koshi Furusho, Shuji Ikebe
Abstract
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Osteochondromas are the most frequent primary benign bone tumors. They commonly arise from the metaphysics of long bones. But lesions in the spine are rare. We report a case of osteochondrama of articular process of cervical spine with radiculopathy. The case was a 22-year-old man with pain in the right shoulder to upper arm. Physical, neurological and laboratory studies were normal. X-P and CT revealed bone tumor in the superior articular process of C-6, and narrowing intervertebral foramen of C5/6. MRI showed a low signal intensity area, partially containing a high signal intensity area. the tumor was excised and histologic examination of the tumor specimen revealed the characteristic pattern of an osteochondroma. The patient's symptoms improved remarkably after operation.
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Osteochondromas are the most frequent primary benign bone tumors. They commonly arise from the metaphysics of long bones. But lesions in the spine are rare. We report a case of osteochondrama of articular process of cervical spine with radiculopathy. The case was a 22-year-old man with pain in the right shoulder to upper arm. Physical, neurological and laboratory studies were normal. X-P and CT revealed bone tumor in the superior articular process of C-6, and narrowing intervertebral foramen of C5/6. MRI showed a low signal intensity area, partially containing a high signal intensity area. the tumor was excised and histologic examination of the tumor specimen revealed the characteristic pattern of an osteochondroma. The patient's symptoms improved remarkably after operation.
Key concepts: Osteochondroma, Medicine, Intervertebral foramen, Cervical spine, Foramen, Benign tumor, Radiology, Anatomy