Complete recovery of severe tetraparesis after excision of large C1-osteochondroma  

作　　者：Essam A Elgamal 

机构地区：[1]Neurosurgery Department, Mafraq Hospital, Abu Dhabi 2951, United Arab Emirates

出　　处：《World Journal of Neurology》2013年第3期79-82,共4页世界神经病学杂志

摘　　要：Severe tetraparesis resulting from cervical cord compression due to osteochondroma of the Atlas is a rare condition, especially in young children. In this report, the author discusses the clinical presentation, and outcome of surgical excision of a large C1 osteochondroma presenting with severe myelopathic tetraparesis, in a 10-year-old girl. Computed tomography and magnetic resonance images revealed a large bony lump arising from the posterior arch of atlas, filling most of the spinal canal, and compressing the cervical spinal cord. Another histologically proven exostosis was incidentally found at the spinous process of T1. There was no history of exostosis in the family, and the patient improved dramatically after removal of the C1 osteochondroma.Severe tetraparesis resulting from cervical cord compression due to osteochondroma of the Atlas is a rare condition, especially in young children. In this report, the author discusses the clinical presentation, and outcome of surgical excision of a large C1 osteochondroma presenting with severe myelopathic tetraparesis, in a 10-year-old girl. Computed tomography and magnetic resonance images revealed a large bony lump arising from the posterior arch of atlas, filling most of the spinal canal, and compressing the cervical spinal cord. Another histologically proven exostosis was incidentally found at the spinous process of T1. There was no history of exostosis in the family, and the patient improved dramatically after removal of the C1 osteochondroma.

关 键 词：OSTEOCHONDROMA EXOSTOSIS ATLAS Tetraparesis MYELOPATHY RECOVERY 

分 类 号：R[医药卫生]