[Acute symptom transverse laminectomy for a benign osteoclastoma of thethoracic spine--case report and review of the literature].
Benign osteoclastomas of the spine above the sacrum are uncommon lesions. Acute paraparesis as the presenting sign of disease is unusual and rarely described in the literature. We report on the case of a 41 yrs old male who underwent acute T3-5 laminectomy for spinal cord decompression from a T4 expansive mass lesion with locally destructive growth. Although a malignant lesion was suspected, definitive histologic examination disclosed a benign osteoclastoma. Therefore, elective trans-thoracic total vertebrectomy T4 with ventral stabilization was performed to allow for marginal total resection of the tumor and reconstruction of the spine. Twenty-four months after the procedure the patient has made a good neurologic recovery with no evidence of tumor recurrence.
Universitätsklinik für Neurochirurgie, Allgemeines Krankenhaus Wien.
A W
AW
Gruber
R J
RJ
Sabitzer
H
H
Görzer
J A
JA
Hainfellner
K
K
Ungersböck
D000208:Acute Disease; D000328:Adult; D001859:Bone Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D018212:Giant Cell Tumor of Bone / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007796:Laminectomy / Q000379:methods*; D008279:Magnetic Resonance Imaging; D008297:Male; D010291:Paresis / Q000209:etiology*; D014057:Tomography, X-Ray Computed
Akute Querschnittsymptomatik durch benignes Osteoklastom der Brustwirbelsäule--Falldarstellung und Literaturübersicht.