Primary hemangiopericytoma in the axis bone

Case report and review of literature

Yan Jeng Lin, Yong Kwang Tu, Swei Ming Lin, Chia Tung Shun

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

OBJECTIVE AND IMPORTANCE: To the best of our knowledge, this is the first reported case of primary hemangiopericytoma in the axis bone. With this report, we attempt to better characterize this uncommon lesion in the vertebral column. CLINICAL PRESENTATION: This report describes a case of primary hemangiopericytoma in the axis bone of a 16-year-old female patient who presented with acute torticollis. Her neurological status was unimpaired. A lateral radiograph of the cervical spine demonstrated an odontoid neck fracture and a C1-C2 rotatory deformity. The magnetic resonance imaging study showed a hypodense lesion with moderate enhancement on T1- and T2-weighted images on the dens and body of the axis with an odontoid neck fracture. Reviewing the literature, primary hemangiopericytoma in the spine is rare; 9 cases of hemangiopericytoma with vertebral bone involvement and 44 cases of this tumor with intraspinal meningeal involvement have been reported. INTERVENTION: The patient was treated with odontoidectomy via the transoral approach, along with posterior fixation using the Halifax clamp. She was followed up 17 months after surgery, and no evidence of tumor recurrence was found. CONCLUSION: The treatment for osseous hemangiopericytoma is still controversial. At present, adequate surgical removal with postoperative radiotherapy is recommended. In addition, although hemangiopericytoma is rare in the spine, it should be kept in mind in the differential diagnosis of spinal tumors.

Original languageEnglish
Pages (from-to)397-400
Number of pages4
JournalNeurosurgery
Volume39
Issue number2
DOIs
Publication statusPublished - Aug 1 1996
Externally publishedYes

Fingerprint

Hemangiopericytoma
Bone and Bones
Spine
Neck
Odontoid Process
Torticollis
Neoplasms
Differential Diagnosis
Radiotherapy
Magnetic Resonance Imaging
Recurrence

Keywords

  • Atlantoaxial fixation
  • Axis
  • Hemangiopericytoma

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Primary hemangiopericytoma in the axis bone : Case report and review of literature. / Lin, Yan Jeng; Tu, Yong Kwang; Lin, Swei Ming; Shun, Chia Tung.

In: Neurosurgery, Vol. 39, No. 2, 01.08.1996, p. 397-400.

Research output: Contribution to journalArticle

Lin, Yan Jeng ; Tu, Yong Kwang ; Lin, Swei Ming ; Shun, Chia Tung. / Primary hemangiopericytoma in the axis bone : Case report and review of literature. In: Neurosurgery. 1996 ; Vol. 39, No. 2. pp. 397-400.
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