Complete recovery of severe tetraparesis after excision of large C1-osteochondroma

• 作者: Essam A Elgamal
• 来源期刊: 世界神经病学杂志
• 学科: 医学
• 关键词: OSTEOCHONDROMA EXOSTOSIS ATLAS Tetraparesis MYELOPATHY RECOVERY
• 年，卷（期）: sjsjbxzz_2013,（3）
• 页码范围: 79-82
• 页数: 4页
• 分类号: R

摘要

Severe tetraparesis resulting from cervical cord compression due to osteochondroma of the Atlas is a rare condition,especially in young children.In this report,the author discusses the clinical presentation,and outcome of surgical excision of a large C1 osteochondroma presenting with severe myelopathic tetraparesis,in a 10-year-old girl.Computed tomography and magnetic resonance images revealed a large bony lump arising from the posterior arch of atlas,filling most of the spinal canal,and compressing the cervical spinal cord.Another histologically proven exostosis was incidentally found at the spinous process of T1.There was no history of exostosis in the family,and the patient improved dramatically after removal of the C1 osteochondroma.