Cervical osteochondroma as a cause of spinal cord compression in a patient with hereditary multiple exostoses: Computed tomography and magnetic resonance imaging findings

Abstract

Spinal cord compression is a rare but extremely serious complication of hereditary multiple exostoses (HME). Imaging of the spine is important for surgical planning and follow up. We present CT and MR findings in a male patient with HME who developed spinal cord compression from a cervical osteochondroma. Complete recovery was achieved following surgery.

Giant Cervical Spine Osteochondroma in an Adolescent Female

“…However, there was a limitation in neck movements caused by the effect which arose from the large mass of the osteochondroma. Computerized Tomography scan is helpful in differentiating the cartilaginous and bone components of the tumour, and also its relationship with the surrounding peripheral structures, including the neural tissues can be also determined [1, 6,7] by CT scan. Magnetic resonance imaging (MRI) is also helpful for the demonstration of spinal cord or nerve root compressions [7].…”

“…Computerized Tomography scan is helpful in differentiating the cartilaginous and bone components of the tumour, and also its relationship with the surrounding peripheral structures, including the neural tissues can be also determined [1, 6,7] by CT scan. Magnetic resonance imaging (MRI) is also helpful for the demonstration of spinal cord or nerve root compressions [7]. Exostoses are thought to arise as a Orthopaedics Section aBstRaCt Osteochondroma or osteocartolaginous exostosis is by far the most common benign bone tumour, which accounts for 35% to 50% of benign bone neoplasms and 10% to 15% of all primary bone tumours.…”

Cervical Osteochondroma Presenting as Brown-Sequard Syndrome in a Child with Hereditary Multiple Exostosis

“…HME is a benign condition characterized by multiple cartilage-capped bony outgrowths in the metaphysis of long bone and flat bones 2,5,7) . It is a genetic disorder with an autosomal dominant pattern of inheritance 2,9) .…”

“…Hereditary multiple exostosis (HME) is the most common form of bone dysplasia 2,5) . It is an autosomal dominant disease with predominance in males and a benign condition characterized by presence of multiple exostosis or osteochondroma arising from long and flat bones 2,9) .…”

“…It is an autosomal dominant disease with predominance in males and a benign condition characterized by presence of multiple exostosis or osteochondroma arising from long and flat bones 2,9) . Spinal cord compression resulting from vertebral osteochondroma is a rare complication and generally becomes symptomatic during the second and third decades of life 5,7) .…”