Paraplegia caused by brown tumor in primary hyperparathyroidism. Case report.
A brown tumor is a secondary disorder of bone associated with hyperparathyroidism that arises predominantly in the metacarpals, phalanges, jaw, pelvis, or femur. Rarely does this tumor involve the spine. The authors describe a case of brown tumor in primary hyperparathyroidism, causing spinal cord compression. The first step in diagnosing this lesion in an unusual site is a high index of suspicion. Essentially, this tumor is benign but emergency surgery for tumor removal is recommended in patients showing acute spinal cord compression.
Third Department of Internal Medicine, Miyazaki Medical College, Japan.
N
N
Yokota
T
T
Kuribayashi
M
M
Nagamine
M
M
Tanaka
S
S
Matsukura
S
S
Wakisaka
D001847:Bone Diseases / Q000150:complications* / Q000209:etiology / Q000473:pathology; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000150:complications*; D008875:Middle Aged; D009192:Myelography; D010264:Paraplegia / Q000209:etiology*; D013117:Spinal Cord Compression / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D014057:Tomography, X-Ray Computed