Computed Tomography in Localization of Spinal Osteoid Osteoma

Wedge, John H.; Tchang, S; MacFadyen, D.J.

doi:10.1097/00007632-198109000-00001

Cited by 22 publications

(5 citation statements)

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“…9,10 To date, there are only seven cases of OO involving the atlas in the previous literature, and none of them was accompanied with abnormal soft tissue reaction, as described in our case (►Table 1). 2,6,7,[11][12][13][14] These features are probably due to the close relation between the nidus, located in the left lamina, and the adjacent ligaments, making this lesion seem like an intraarticular OO.…”

Section: Discussionmentioning

confidence: 98%

“…5 According to the literature, torticollis is the main symptom for lesions located in the cervical segment, as in our case. 6,7 CT is the best modality to identify spinal OO: it can easily identify the nidus, as a well-defined area of low attenuation, with or without a variable amount of internal high density that represents the osteoid component of the nidus. 7,8 Compared with CT, MRI has limited value in demonstrating the nidus, but it is able to depict changes of the host bone and surrounding tissues.…”

Section: Discussionmentioning

confidence: 99%

“…6,7 CT is the best modality to identify spinal OO: it can easily identify the nidus, as a well-defined area of low attenuation, with or without a variable amount of internal high density that represents the osteoid component of the nidus. 7,8 Compared with CT, MRI has limited value in demonstrating the nidus, but it is able to depict changes of the host bone and surrounding tissues. 9,10 To date, there are only seven cases of OO involving the atlas in the previous literature, and none of them was accompanied with abnormal soft tissue reaction, as described in our case (►Table 1).…”

Section: Discussionmentioning

confidence: 99%

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Osteoid Osteoma of the Atlas in a Boy: Clinical and Imaging Features–A Case Report and Review of the Literature

et al. 2020

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Osteoid osteoma is a benign osteoblastic tumor, quite uncommon in the spine. We report a case of an osteoid osteoma involving the atlas in a 6-year-old boy, who presented with suboccipital pain and torticollis. Initial radiological findings were ambiguous as magnetic resonance imaging showed mainly edema of upper cervical soft tissues. The subsequent computed tomography depicted a lesion of left lamina of C1. As conservative treatment failed, the lesion was surgically resected and the patient became pain free. To our knowledge, this is the first case of osteoid osteoma involving the atlas associated with abnormal soft tissue reaction reported in literature.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Osteoid Osteoma of the Atlas in a Boy: Clinical and Imaging Features–A Case Report and Review of the Literature

et al. 2020

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“…There are several reports of the CT appearance of osteoid osteoma in the literature (6,9,10). In these cases, the central nidus was clearly visible on CT, even in cases where it was missed on conventional radiography.…”

Section: Discussionmentioning

confidence: 98%

Diagnosis of osteoid osteoma using computed tomography

Aisen

Glazer

1984

Journal of Computed Tomography

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Osteoid osteoma is a benign lesion of bone generally diagnosed using conventional radiography or conventional tomography. Computed tomography can be used in difficult cases to localize a clinically suspected lesion. In this report we present two patients in whom an osteoid osteoma was detected using computed tomographic scanning; in an additional patient computed tomography failed to localize a lesion, probably because the slice thickness was too great. Because the nidus of the lesion is small--generally several millimeters in diameter--accurate CT localization requires that narrowly collimated, closely spaced sections be obtained.

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“…3 From a literature search performed through PubMed, we found only seven cases of osteoid osteoma located in the atlas. [4][5][6][7][8][9] They were all treated by surgical resection (Table 1). To the best of our knowledge, our case is the first report of atlas osteoid osteoma treated by RFA, and now it is described as follows.…”

Section: Introductionmentioning

confidence: 99%

Radiofrequency ablation of osteoid osteoma in the atlas: A case report

Yang

Yin

et al. 2017

Interv Neuroradiol

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Osteoid osteoma of the atlas has previously been reported very rarely in the published literature. The traditional standard treatment has been a surgical resection of the nidus. Recently, computed tomography (CT)-guided radiofrequency ablation (RFA) has gained favor as a more precise alternative treatment. Here, we present a case of osteoid osteoma of the C1 lateral mass treated successfully using CT-guided RFA. A 30-year-old woman who presented with a four-month history of occipital and suboccipital pain was treated by CT-guided RFA. The visual analog scale (VAS) assessed the pain before and after RFA. The patient reported significant pain relief and normal activities. The VAS score reduced from 8/7 to 1/0 after the procedure. Therefore CT-guided percutaneous RFA of C1 vertebral osteoid osteoma is a safe and effective method. The technique might be contraindicated when the nidus is less than 2 mm away from the neural structures.

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Computed Tomography in Localization of Spinal Osteoid Osteoma

Cited by 22 publications

References 0 publications

Osteoid Osteoma of the Atlas in a Boy: Clinical and Imaging Features–A Case Report and Review of the Literature

Osteoid Osteoma of the Atlas in a Boy: Clinical and Imaging Features–A Case Report and Review of the Literature

Diagnosis of osteoid osteoma using computed tomography

Radiofrequency ablation of osteoid osteoma in the atlas: A case report

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