Mudumba Vijayasaradhi, Mamindla Ravi Kumar
Department of Neurosurgery, Nizam's Institute of Medical Sciences, Panjagutta, Hyderabad, Andhra Pradesh, India.
Asian J Neurosurg. 2012 Apr;7(2):101-2. doi: 10.4103/1793-5482.98658.
Osteochondromas of the vertebral column are rare tumors and constitute about 3-4% of all primary vertebral column tumors. We report a case of osteochondroma arising from C3 lamina presenting with acute quadriplegia following a trivial fall. Computed Tomography (CT) and Magnetic Resonance imaging (MRI) showed bony lesion arising from C3 laminar arch compressing the cord with underlying spinal cord contusion. Emergency C3 laminectomy and complete enbloc excision of the lesion was performed, following which patient showed gradual recovery in neurological status. This acute presentation in this rare, slow growing, tumor has never been reported in literature till date.
脊柱骨软骨瘤是罕见肿瘤，约占所有原发性脊柱肿瘤的3 - 4%。我们报告一例起源于C3椎板的骨软骨瘤病例，患者在轻微跌倒后出现急性四肢瘫痪。计算机断层扫描（CT）和磁共振成像（MRI）显示C3椎板弓出现骨病变，压迫脊髓并伴有脊髓挫伤。急诊行C3椎板切除术并完整整块切除病变，术后患者神经功能逐渐恢复。这种罕见的、生长缓慢的肿瘤的急性表现迄今为止在文献中从未有过报道。
