title: Osteochondroma of the C5 lamina with cord compression: case report and review of the literature.
abstract: METHODS
  Case report of a solitary osteochondroma of the cervical spine causing myelopathy in a 66-year-old woman.
  
  
  OBJECTIVE
  To review the relevant literature and describe a highly unusual clinical manifestation of solitary osteochondroma.
  
  
  BACKGROUND
  Osteochondromas are common benign bony lesions that seldom occur in the axial skeleton. These lesions are more commonly reported with neural compression in cases of hereditary multiple exostoses (Bessel-Hagel syndrome, diaphyseal aclasis).
  
  
  METHODS
  Chart review, review of relevant radiographic examinations and histopathologic specimens, clinical follow-up with examination, and literature review.
  
  
  RESULTS
  Manifestation with new neurologic deficit in a 66-year-old patient was singular.
  
  
  CONCLUSIONS
  Osteochondromas are unusual in the axial skeleton, and are rarely signaled by neural compression. Occurrence is generally in young adults in the second and third decades. Initial manifestation with a new neurologic deficit in a 66-year-old patient was highly unusual.
authors.affiliation: Department of Neurosurgery, Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, LA 70121, USA.
authors.forename: J
authors.initials: J
authors.lastname: Ratliff
authors.forename: R
authors.initials: R
authors.lastname: Voorhies
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D015831:Osteochondroma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D013117:Spinal Cord Compression / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D013125:Spinal Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery