title: Solitary C1 spinal osteochondroma causing vertebral artery compression and acute cerebellar infarct.
abstract: Osteochondroma is a common benign bone lesion, usually involving the long bones. Spinal involvement is rare. The clinical presentation of spinal osteochondroma varies according to the site of the lesion. The most common reported clinical presentation is secondary to encroachment of the lesion on the spinal canal or nerve roots. Less common presentations such as a palpable neck mass, dysphagia, sleep apnea, paralysis of left vocal cord or acute respiratory distress have been reported when the lesions compress the anatomic structures anteriorly. We describe a rare case of a young patient who presented with an emergent critical condition of acute cerebellar infarct as a result of vertebral artery compression caused by a solitary C1 spinal osteochondroma.
authors.affiliation: Department of Pathology, Cleveland Clinic, Cleveland, OH, USA, Zhangy7@ccf.org.
authors.forename: Yaxia
authors.initials: Y
authors.lastname: Zhang
authors.forename: Hakan
authors.initials: H
authors.lastname: Ilaslan
authors.forename: Muhammad S
authors.initials: MS
authors.lastname: Hussain
authors.forename: Mark
authors.initials: M
authors.lastname: Bain
authors.forename: Thomas W
authors.initials: TW
authors.lastname: Bauer
mesh_terms: D000328:Adult; D002526:Cerebellar Diseases / Q000209:etiology* / Q000473:pathology; D002544:Cerebral Infarction / Q000209:etiology* / Q000473:pathology; D002574:Cervical Vertebrae / Q000473:pathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D013125:Spinal Neoplasms / Q000150:complications* / Q000473:pathology*; D014715:Vertebrobasilar Insufficiency / Q000209:etiology* / Q000473:pathology*
references.citation: Asian Spine J. 2012 Mar;6(1):66-70
references.pmid: 22439091
references.citation: J Spinal Disord Tech. 2005 Jun;18(3):293-6
references.pmid: 15905778
references.citation: Acta Neurochir (Wien). 2009 Jun;151(6):629-33; discussion 633
references.pmid: 19290470
references.citation: Spine J. 2014 Jul 1;14(7):1356
references.pmid: 24534394
references.citation: J Neurosurg. 1992 Aug;77(2):247-52
references.pmid: 1625013
references.citation: South Asian J Cancer. 2013 Jul;2(3):144
references.pmid: 24455595
references.citation: Case Rep Orthop. 2013;2013:509745
references.pmid: 24383028
references.citation: Surg Neurol. 1989 Jun;31(6):459-64
references.pmid: 2718087
references.citation: Asian Spine J. 2014 Feb;8(1):84-8
references.pmid: 24596611
references.citation: J Neurosurg Sci. 2002 Jun;46(2):66-70; discussion 70
references.pmid: 12232551
references.citation: Spine (Phila Pa 1976). 2007 Jul 15;32(16):E471-4
references.pmid: 17632387
references.citation: J Neurosurg Spine. 2008 Jun;8(6):561-6
references.pmid: 18518678
references.citation: Neurol Med Chir (Tokyo). 2014;54(5):408-12
references.pmid: 24172589
references.citation: Iran J Radiol. 2013 Jun;10(2):77-80
references.pmid: 24046783
references.citation: Global Spine J. 2013 Jun;3(2):115-8
references.pmid: 24436860
references.citation: Eur J Pediatr Surg. 2007 Jun;17(3):210-3
references.pmid: 17638163
references.citation: J Clin Neurosci. 2009 Apr;16(4):581-2
references.pmid: 19195892
references.citation: Spine (Phila Pa 1976). 1994 Jan 1;19(1):83-8
references.pmid: 8153813
references.citation: Spine (Phila Pa 1976). 2005 Jan 1;30(1):E13-9
references.pmid: 15626967
references.citation: Semin Diagn Pathol. 2011 Feb;28(1):73-85
references.pmid: 21675379
references.citation: Br J Neurosurg. 2013 Feb;27(1):130-1
references.pmid: 22844969
references.citation: Eur Rev Med Pharmacol Sci. 2014;18(1 Suppl):34-40
references.pmid: 24825039
references.citation: BMJ Case Rep. 2013 Jul 31;2013:
references.pmid: 23904422