title: [Cervical cord compression by hereditary multiple exostosis: case report and review of literature].
abstract: BACKGROUND
  Hereditary multiple exostosis (HME) is an hereditary disease, characterized by the presence of multiple osteochondromas; 7% of patients with HME have a spinal disease. Through this observation, the authors discuss the diagnostic and therapeutic aspects of this rare lesion.
  
  
  METHODS
  A 45-year-old woman, operated 10 years ago for an exostosis of the right fibula and left femur. She has since few years paresthesia of all four limbs with distal predominance, walking fatigability kind of spinal claudication. The MRI shows a voluminous osteoma at the second cervical vertebra compressing the spinal cord. The patient was operated with macroscopically complete resection of the exostosis and C2 laminectomy.
  
  
  CONCLUSIONS
  The cervical exostosis associated with HME is a rare disease. The clinical symptomatology is dominated by spinal cord compression and surgical treatment allows excellent clinical results.
authors.affiliation: Service de neurochirurgie, hôpital Foch, 40 rue Worth, Suresnes, France. anibakhalid@yahoo.fr
authors.forename: K
authors.initials: K
authors.lastname: Aniba
authors.forename: S
authors.initials: S
authors.lastname: Aldea
authors.forename: S
authors.initials: S
authors.lastname: Gaillard
mesh_terms: D002574:Cervical Vertebrae; D005097:Exostoses, Multiple Hereditary / Q000150:complications*; D005260:Female; D006801:Humans; D008875:Middle Aged; D013117:Spinal Cord Compression / Q000209:etiology*