Trevor disease of the spine. Case report.
The authors report the case of a 15-year-old boy who presented with left shoulder pain and paresthesia of the left hand. Imaging studies revealed an osseous lesion compressing the C-8 nerve root. The patient underwent tumor resection followed by instrumentation-augmented fusion. Histological findings were consistent with osteochondroma. The tumor most likely originated from the articular cartilage between the first rib and T-1 or between C-7 and T-1. The correct diagnosis, therefore, was dysplasia epiphysialis hemimelica (DEH), also known as Trevor disease. To the authors' knowledge, this is the first report of DEH involving the spine.
Schrot
Rudolph J
RJ
Department of Neurological Surgery, University of California-Davis Medical Center, Sacramento, California, USA.
Kim
Kee D
KD
Fedor
Mark
M
D000293:Adolescent; D002574:Cervical Vertebrae; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D015831:Osteochondroma / Q000000981:diagnostic imaging* / Q000601:surgery; D011859:Radiography; D013125:Spinal Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery