title: Spinal aneurysmal bone cyst presenting as acute paraparesis during pregnancy.
abstract: Aneurysmal bone cysts (ABC) are benign but locally aggressive osseous lesions characterized by blood-filled cystic cavities that account for 1-2% of all bone tumors. While pain remains the most common presenting symptom of spinal ABC, extensive anterior column involvement can result in vertebral fractures, spinal instability, and neurological deficits from compression of neural elements. An exceedingly rare case of thoracic ABC presenting as acute paraparesis in a 21-year-old pregnant woman, that was successfully treated with urgent surgical decompression and stabilization, is reported, with discussion of management strategies and review of the pertinent literature.
authors: Medical College of Wisconsin, Milwaukee, WI, USA.
authors: Luyuan
authors: L
authors: Li
authors: Department of Neurosurgery, Rush University Medical Center, 1725 W Harrison Street, Suite 855, Chicago, IL 60612, USA.
authors: Lee A
authors: LA
authors: Tan
authors: Department of Neurosurgery, Rush University Medical Center, 1725 W Harrison Street, Suite 855, Chicago, IL 60612, USA.
authors: Joshua T
authors: JT
authors: Wewel
authors: Department of Neurosurgery, Rush University Medical Center, 1725 W Harrison Street, Suite 855, Chicago, IL 60612, USA. Electronic address: manish_kasliwal@rush.edu.
authors: Manish K
authors: MK
authors: Kasliwal
authors: Department of Neurosurgery, Rush University Medical Center, 1725 W Harrison Street, Suite 855, Chicago, IL 60612, USA.
authors: John E
authors: JE
authors: O'Toole
mesh_terms: D017824:Bone Cysts, Aneurysmal / Q000175:diagnosis* / Q000601:surgery; D019299:Decompression, Surgical; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D020335:Paraparesis / Q000175:diagnosis* / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000601:surgery; D013122:Spinal Diseases / Q000175:diagnosis* / Q000601:surgery; D055815:Young Adult
keywords: Aneurysmal bone cyst; Management; Paraplegia; Pregnancy