scholarly journals Aneurysmal Bone Cyst of the Cervical Spine

2020 ◽  
Vol 44 (3) ◽  
pp. 159-163
Author(s):  
Irina Bagić ◽  
Dario Mužević ◽  
Gordan Reljac ◽  
Vjenceslav Vrtarić ◽  
Marko Kovačević

Aneurysmal bone cyst (ABC) is a non-neoplastic locally destructive primary bone lesion mostly occurring within the first two decades of life with female predominance. Cervical spine ABCs are a very rare clinical entity with particularly demanding surgical resection limited by the involvement of nearby neurovascular structures and a risk for cervical spine instability. We present a case of a 17-year-old patient with a symptomatic ABC of the cervical spine who underwent surgical removal of the osseous lesion with good postoperative outcome. There are different therapeutic strategies for ABC management, but complete surgical removal of the cyst remains one of the most important predictors of favorable outcome, although it can be often limited, especially in the cervical region. Previously described lesions have a very high recurrence rate and therefore different additional methods, such as radiotherapy, embolization and sclerosation have been used in addition to surgical resection. Further studies are necessary for development of evidence-based treatment regimens for cervical spine ABCs in pediatric population.

2021 ◽  
Vol 18 (1) ◽  
pp. 25-28
Author(s):  
Forhad H Chowdhury ◽  
Mohammad Abdullah Yusuf ◽  
Mohammod Raziul Haque

Aneurysmal bone cyst (ABC) is a benign progressive expansile bone lesion that usually involves often located in vertebrae, long tubular bones and flat bones. A small percentage of aneurysmal bone cysts arise from the skull base. Skull base involvement is very rare. Here, we describe a 22-year young man presented with diplopia, right sided facial paresis and right sided sensori-neural hearing loss. CT scan and MRI showed a right petrous apex skull base mass that was confirmed as ABC in histopathology after surgical removal. Journal of Science Foundation, January 2020;18(1):25-28


2021 ◽  
Vol 27 (4) ◽  
pp. 4139-4142
Author(s):  
Meri A. Hristamyan ◽  
◽  
Rosen B. Tsolov ◽  

Аneurysmal bone cysts are benign osteolytic lesions with rapid growth, thin walls containing numerous blood-filled cavities. They occur mainly in the pediatric population but are rarely diagnosed in the facial skeleton. Although benign, the condition can be locally aggressive and cause significant weakening of the affected bone structure. This case report presents a 14-year-old boy with Burkitt's tumor (Non-Hodgkin's lymphoma), previously diagnosed with an aneurysmal bone cyst a year ago. He was admitted for treatment at the Clinic of Maxillo-Facial Surgery of the University Hospital "St. George" Plovdiv due to pain and swelling in the left molar area of the mandibula, dating from 2 days. A recurrence of an aneurysmal bone cyst measuring 55/25 mm, which does not require resection of the mandible, was found. After a decision for surgical removal of the formation, under general anesthesia, and preparation of a three-cornered mucoperiosteal flap, the mandibular bone, which is lysed and thinned by the formation, was trepanned. The roots of the affected teeth were resected, and the formation was extirpated. A gauze drain was placed in the formed cavity, and the wound was sutured. Drug therapy included Cefotaxime 2x1.0 - 10 days, starting 3 days before surgery, and Paracetamol 2x1 – 3 days, 2 days before and 1 day after surgery. Prophylactic examinations were scheduled on day 3, 7, 10, 15 after the operation, as well as 3, 6, and 12 months post-op, due to the recurrent nature of the formation.


2020 ◽  
Vol 55 (5) ◽  
pp. 304-308
Author(s):  
Zeferino Demartini Jr. ◽  
Gelson Luis Koppe ◽  
Ricardo Munhoz da Rocha Guimarães ◽  
Luiz Eduardo Munhoz da Rocha ◽  
Alexandre Novicki Francisco ◽  
...  

<b><i>Introduction:</i></b> Aneurysmal bone cyst (ABC) is a rare, benign, and expansible bone lesion, occurring mainly in childhood. Although most lesions are located at the metaphysis of long bones, they can also be found in flat bones and spine. <b><i>Case Presentation:</i></b> We report a case of a 16-year-old boy with cervical ABC treated by endovascular embolization. The afferents were occluded as a preoperative preparation for surgery; however, as the patient became asymptomatic after the procedure, the family refused surgery. Image at 1-year follow-up showed reduction and ossification of the lesion. <b><i>Conclusion:</i></b> Endovascular treatment decreases surgical morbidity by reducing blood loss, which is particularly important in the pediatric population. This therapeutic option may also halt ABC growth in selected cases.


2018 ◽  
Vol 21 (3) ◽  
pp. 175-178
Author(s):  
Ricardo De Amoreira Gepp ◽  
Eidmar Augusto Neri ◽  
Regis Tavares Da Silva ◽  
Raphael Temporão Maciel Monteiro

Introduction: Aneurysmal bone cyst is a benign and destructive bone lesion of unknown etiology. Current approaches to treatment include surgical en bloc excision, curettage, selective arterial embolization and radiotherapy. A giant aneurysmal bone cyst in the lumbar vertebra is reported, along with a brief review of the literature on the topic. Method: A 15- year old boy presents with lumbar pain and a 3 months history of paraparesis. Diagnostic imaging revealed an expansile lytic lesion in the spinous process and lamina of the fourth andfifth lumbar vertebra. Surgical treatment consisted of excisional biopsy and a segmental instrumented posterior fusion from L2-S1. Histopathology was consistent with an aneurysmal bone cyst. After one year, the patient improved his neurological function with only a L5 bilateral paresis. Discussion: Treatment of aneurysmal bone cysts of the spine is challenging when it occurs in close proximity to neural and vascular structures. Fusion and stabilization with instrumentation are often necessary. One vertebra is involved in most cases and extensive lesions are uncommon. Complete tumor resection and fusion of lumbar spine, using stabilization with instrumentation provide both cure and preservation of lumbar spine stability. Neurological deficits can be improved by surgical removal of the tumor


2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Rayan Elkattah ◽  
Brooke Foulk

Albeit rare, the majority of identified bone lesions in pregnancy spare the pelvis. Once encountered with a pelvic bone lesion in pregnancy, the obstetrician may face a challenging situation as it is difficult to determine and predict the effects that labor and parturition impart on the pelvic bones. Bone changes and pelvic bone fractures have been well documented during childbirth. The data regarding clinical outcomes and management of pregnancies complicated by pelvic ABCs is scant. Highly suspected to represent an aneurysmal bone cyst, the clinical evaluation of a pelvic lesion in the ilium of a pregnant individual is presented, and modes of delivery in such a scenario are discussed.


1993 ◽  
Vol 83 (10) ◽  
pp. 595-597 ◽  
Author(s):  
RG Schmidt ◽  
YM Kabbani ◽  
DP Mayer

Key findings that aid in the diagnosis of an aneurysmal bone cyst are: 1) typically the patients are young individuals less than 20 years old; 2) an expansile bone lesion is bordered by a thin, low signal intensity rim mass; 3) the lesion is inhomogenously increased in signal on T2-weighted images; and 4) multiple fluid-fluid levels are seen with the mass on T2-weighted magnetic resonance imaging scans.


2015 ◽  
Vol 2 (2) ◽  
pp. 52-54
Author(s):  
Vikas Naik ◽  
GC Keshav ◽  
SA Santhosh Kumar ◽  
Sanjeev Balaji Pai

2010 ◽  
Vol 10 (2) ◽  
pp. e5-e9 ◽  
Author(s):  
Brian R. Subach ◽  
Anne G. Copay ◽  
Marcus M. Martin ◽  
Thomas C. Schuler ◽  
Maritza Romero-Gutierrez

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