Multiple peripheral nerve compressions related to malignantly transformed hereditary multiple exostoses

Paik, Nam–Jong; Han, Tai Ryoon; Lim, Suk Jin

doi:10.1002/1097-4598(200008)23:8<1290::aid-mus23>3.0.co;2-m

Cited by 35 publications

(25 citation statements)

References 16 publications

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“…21 In the literature, only individual cases of peripheral nerve compression secondary to solitary osteochondromas are available. 2,[4][5][6][8][9][10][11][12][13][14][15][16][17][18][19][20][22][23][24][25][26][27][28][29][30][31][32][33][34][36][37][38][40][41][42][43][44][45][46][47] This case series is the largest series of peripheral nerve compressions due to solitary osteochondromas, and our aim in this retrospective study was to investigate the mechanisms, diagnostic …”

Section: ©Aans 2014mentioning

confidence: 99%

Peripheral nerve injuries due to osteochondromas: analysis of 20 cases and review of the literature

Göçmen¹,

Topuz²,

Atabey³

et al. 2014

JNS

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Object. Nerve compressions due to osteochondromas are extremely rare. The aim of this retrospective study was to investigate the mechanisms, diagnostic evaluations, and treatment of nerve lesions due to osteochondromas, and to review the literature.Methods. The authors retrospectively reviewed their clinic data archive from 1998 through 2008, and 20 patients who were operated on due to peripheral nerve injuries caused by osseous growth were enrolled in the study. Patients' age, duration of symptoms, localizations, intraoperative findings, and modified British Medical Research Council (MRC) and electromyography data obtained from hospital records were evaluated. The literature on this topic available in PubMed was also reviewed. All 20 patients underwent surgery, which consisted of tumor excision performed by orthopedic surgeons and nerve decompression performed by neurosurgeons.Results. There were 17 men and 3 women included in the study, with a mean age of 21 years (range 18-25 years). Three patients had multiple hereditary exostoses, and 17 had a solitary exostosis. All of the patients underwent en bloc resection. The most common lesion site was the distal femur (45%). The peroneal and posterior tibial nerves were the structures that were affected the most frequently. The mean follow-up was 3.9 years (range 2-7 years). After the surgery, all patients (100%) experienced good sensory recovery (modified MRC Grade S4 or S5).Conclusions. To the authors' knowledge, no large series have reported peripheral nerve compression due to exostoses. The authors have several recommendations as a result of their findings. First, all patients with peripheral nerve compression due to an osteochondroma should undergo surgery. Second, preoperative electromyographic examinations and radiographic evaluation, consisting of MRI and CT to provide optimal information about the lesion, are crucially important. Third, immediate treatment is mandatory to regain the best possible recovery. And fourth, performing nerve decompression first and en bloc resection of osteochondroma consecutively in a multidisciplinary fashion is strongly recommended to avoid peripheral nerve injury.

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Section: ©Aans 2014mentioning

confidence: 99%

Peripheral nerve injuries due to osteochondromas: analysis of 20 cases and review of the literature

Göçmen¹,

Topuz²,

Atabey³

et al. 2014

JNS

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“…Significant pain can occur in fewer than 25% of cases [27]. Although extremely rare, osteochondroma (solitary or multiple) can affect the lumbar spine and the femoral neck, resulting in nerve root and sciatic nerve compression, respectively [28][29][30]. These lesions are well demonstrated on CT, but MRI is particularly useful for the depiction of the overlying cartilaginous cap, as well as the associated nerve compression.…”

Section: Miscellaneousmentioning

confidence: 99%

Review of the principal extra spinal pathologies causing sciatica and new MRI approaches

Ailianou¹,

Fitsiori²,

Syrogiannopoulou³

et al. 2012

BJR

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ABSTRACT. In this paper we illustrate the principal extraspinal pathologies causing sciatica and new approaches for the study of structures such as the lumbosacral plexus (LSP). Visualisation of the LSP in its entirety is difficult with conventional twodimensional MRI sequences owing to its oblique orientation. In our institution, we have found that the utilisation of three-dimensional short tau inversion-recovery sampling perfection with application-optimised contrasts using different flip angle evolutions sequence is helpful, allowing multiplanar and maximum intensity projection reconstructions in the coronal oblique plane and curvilinear reformats through the plexus. Diffusion tensor imaging enables the observation of microstructural changes and can be useful in surgical planning. The normal anatomy of the LSP, its different extraspinal pathologies and differential diagnoses are thoroughly presented.

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“…This bony exostoses have the potential to cause compression neuropathies but actual reported cases are rare. 17 Turan Ilica et al reported a case of 34 years old man with femoral neck Osteochondroma that was causing sciatic nerve compression. CT and MRI were used to determine the size, origin and extent of the Osteochondroma and to plan strategies for surgery 18 .…”

mentioning

confidence: 90%

“…Nerve compression is rare and present in less than one percent of all cases of Osteochondroma. 10 In this article we report a 26 years old female present with pain in left groin, weakness and tingling sensation of left lower extremity due to proximal femoral Osteochondroma. Radiograph shows cauliflower like mass originating from left proximal femur.…”

Section: Introductionmentioning

confidence: 99%

Osteochondroma of femoral neck- a rare cause of femoroacetabular impingement and sciatic nerve compression

Mondal¹

2014

IOSR-JDMS

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Multiple peripheral nerve compressions related to malignantly transformed hereditary multiple exostoses

Cited by 35 publications

References 16 publications

Peripheral nerve injuries due to osteochondromas: analysis of 20 cases and review of the literature

Peripheral nerve injuries due to osteochondromas: analysis of 20 cases and review of the literature

Review of the principal extra spinal pathologies causing sciatica and new MRI approaches

Osteochondroma of femoral neck- a rare cause of femoroacetabular impingement and sciatic nerve compression

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