Shaw Andrew, Zibly Zion, Prasad Vinay, Ikeda Daniel, Boue Daniel, Governale Lance S
1 Division of Pediatric Neurosurgery, Nationwide Children's Hospital, 555 South 18th Street, Columbus, OH 43205, USA.
Pediatr Dev Pathol. 2014 May-Jun;17(3):221-5. doi: 10.2350/14-02-1445-CR.1. Epub 2014 Mar 20.
Synovial chondromatosis is a benign condition characterized by metaplastic changes of the synovial membrane typically affecting large joints. Cervical spine involvement is rare and has not been reported in a teenager. The authors report a case of cervical synovial chondromatosis in a 19-year-old male presenting with left-sided weakness and numbness from spinal cord compression. After gross total resection was accomplished via laminoplasty, the patient's presenting symptoms improved and continued to do so over the follow-up period. The likely cause of the synovial chondromatosis in this patient was repetitive neck trauma as a child from a motor vehicle accident and football. This case demonstrates that the pathophysiology of this rare entity can initiate in the pediatric population. Although rare, synovial chondromatosis should be considered in the differential diagnosis of calcified extradural masses in the teenage population.