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.
Department of Neurological Surgery, University of California-Davis Medical Center, Sacramento, California, USA.
Rudolph J
RJ
Schrot
Kee D
KD
Kim
Mark
M
Fedor
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