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Child's Nervous System
Published in: Child's Nervous System 3/2018

01-03-2018 | Case Report

Multiple hereditary osteochondromatosis with spinal cord compression: case report

Authors: Oscar García-González, J. Nicolás Mireles-Cano, Natalia Sánchez-Zavala, Miguel A. Chagolla-Santillan, Segio M. Orozco-Ramirez, Pedro Silva-Cerecedo, Mario Murguia-Perez, Fernando Rueda-Franco

Published in: Child's Nervous System | Issue 3/2018

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Abstract

Objective

The purpose of the report is to describe a patient with hereditary osteochondromatosis and spinal cord compression at the thoracic level.

Clinical features

An 8-year-old patient with hereditary osteochondromatosis inherited from his father presented paraparesis in the left foot, leading to complete paralysis in both legs.

Intervention

In a CT scan, a bony tumor rising from the posterior wall of the T3 body narrowing the spinal canal, and the MRI spinal cord compression at the same level and the hydrosyringomyelic cavity extended to the conus medullaris; with an anterior thoracic approach to T2–T4, the fibro-cartilaginous tumor was removed, and the stabilization was completed with bone graft and a plate. Two months after surgery, the patient recovered strength in both legs.

Conclusions

A detailed family history through examination-guided advanced imaging and biopsy provides useful information for diagnosis and appropriate management of occupative lesions in patients affected with multiple hereditary exostosis.
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Metadata
Title
Multiple hereditary osteochondromatosis with spinal cord compression: case report
Authors
Oscar García-González
J. Nicolás Mireles-Cano
Natalia Sánchez-Zavala
Miguel A. Chagolla-Santillan
Segio M. Orozco-Ramirez
Pedro Silva-Cerecedo
Mario Murguia-Perez
Fernando Rueda-Franco
Publication date
01-03-2018
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 3/2018
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-017-3645-1

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