Osteocondroma de la columna cervical provocando tortícolis y hemiparesia

Castro-Castro, Julián; Rodiño-Padín, Jon; Touceda-Bravo, Alberto; Castro-Bouzas, D.; Pinzón-Millán, Alfonso

doi:10.1016/j.neucir.2013.09.001

Cited by 9 publications

(1 citation statement)

References 13 publications

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“…6,14,18 Rare cases, such as torticollis and hemiparesis due to vertebral artery occlusion, have also been described. 19 Bess et al recommended that the tumour should be excised surgically when it causes pain or neurological complications or when the diagnosis is unclear. 14…”

Section: Introductionmentioning

confidence: 99%

Late presentation of spinal cord compression in hereditary multiple exostosis: Case reports and review of the literature

Gigi

Kurian

Cole

et al. 2019

Journal of Children's Orthopaedics

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IntroductionOsteochondromas are usually found in the long bones of patients with hereditary multiple exostoses (HME). The spine is reported to be involved in over 50% of cases, but few of these patients are symptomatic as the result of an existing spinal exostosis.MethodsWe reviewed the current literature in order to find the right approach to patients with HME-complicated spinal exostosis and describe three paediatric patients that were diagnosed late with spinal cord compression due to cervical exostosis.ResultsOur three cases were all late presentations with neurology and unfortunately had minimal improvement of neurology after the lesion was surgically removed. There is general agreement that late presentation of spinal cord injury due to osteochondromas involving the cervical spine may cause severe and irreversible neurological sequelae. Our literature review revealed that there are no clear-cut guidelines to develop more comprehensive screening measures for these patients.ConclusionsA high index of suspicion is the most important factor for correct diagnosis and appropriate management. Physicians who treat HME should bear in mind that thorough history taking and a neurological examination at follow up are essential for these patients. Clearer guidelines for the development of more comprehensive screening programmes are essential.Level of evidenceIV

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