RESUMEN
Vertebral hemangiomas are the most common tumours of the vertebral column. Generally, these tumours are asymptomatic but some patients complain of back pain and develop neurologic symptoms due to extraosseous extension. Vertebral hemangiomas can extend extradurally causing neurological impairment as a result of compression of the spinal cord and nerve roots. Vertebral hemangiomas may be multiple and detectable as a component of the Klippel-Trenaunay-Weber syndrome. Although this syndrome consists of deep venous thrombosis, lymphatic anomalies, cutaneous capillary malformations, and hypertrophy of soft tissue and bone on extremities, its clinical presentation may be very variable. We present a unique case of vertebral hemangioma causing spinal cord compression due to the extradural extension that also had deep venous thrombosis, hematuria, hypophyseal cyst and ventricle asymmetry, diagnosed as the Klippel-Trenaunay-Weber syndrome.
Asunto(s)
Hemangioma/complicaciones , Síndrome de Klippel-Trenaunay-Weber/complicaciones , Paraplejía/etiología , Neoplasias de la Columna Vertebral/complicaciones , Adulto , Quistes , Hematuria/etiología , Humanos , Imagen por Resonancia Magnética , Masculino , Enfermedades de la Hipófisis/etiología , Compresión de la Médula Espinal/etiología , Compresión de la Médula Espinal/terapia , Tomografía Computarizada por Rayos X , Ultrasonografía , Trombosis de la Vena/diagnóstico por imagen , Trombosis de la Vena/etiologíaRESUMEN
Tenosynovial giant cell tumor (TGT) rarely arises from the posterior coloumn of the cervical spine. Most lesions of TGT involve the tendon sheath and joint lining of the small joints of the fingers and hands, and consecutively the knee, ankles and feet, and hips. Rate of extra-articular presentation is about 5-15% in all cases. In this report, a case with paraparesis caused by TGT in the cervico-thoracic junction is presented. The clinical manifestations, diagnosis, and treatment of this unusual condition are discussed. In the treatment of TGT of the vertebral column, the main aim should be total surgical excision of the tumor.
Asunto(s)
Vértebras Cervicales/cirugía , Tumores de Células Gigantes/cirugía , Neoplasias de los Tejidos Blandos/cirugía , Neoplasias de la Médula Espinal/cirugía , Sinovectomía , Anciano , Vértebras Cervicales/patología , Tumores de Células Gigantes/diagnóstico , Tumores de Células Gigantes/patología , Humanos , Masculino , Neoplasias de los Tejidos Blandos/diagnóstico , Neoplasias de los Tejidos Blandos/patología , Neoplasias de la Médula Espinal/diagnóstico , Neoplasias de la Médula Espinal/patología , Membrana Sinovial/patología , Tendones/patología , Resultado del TratamientoRESUMEN
Diffuse idiopathic skeletal hyperostosis (DISH) or Forestier's disease is a common disorder of unknown etiology that is characterized by ossification of the anterior longitudinal ligament of the spine and various extra-spinal ligaments. We present the case of a 54-year-old woman with progressive dysphagia due to DISH of the cervical spine, which is a relatively rare pathology in neurosurgical practice. The cervical osteophytes extending from C2 to C4 and external compression of the pharyngoesophageal segment by the large osteophytes were demonstrated by X-ray, magnetic resonance imaging, and computed tomography. Surgical removal of the large osteophytes and a shortterm nonsteroidal anti-inflammatory drug regimen led to the resolution of dysphagia. The clinical manifestations, diagnosis, and treatment of this unusual condition are discussed.
