Unusual bleeding of aneurysmal bone cyst in the upper thoracic spine.

Shih Hao Chen, Tsung-Jen Huang, S. Hsueh, Yan Yaw Lee, Robert Wen Wei Hsu

Research output: Chapter in Book/Report/Conference proceedingChapter

6 Citations (Scopus)

Abstract

Aneurysmal bone cyst (ABC) is a benign bone lesion and commonly affects young adolescents. It usually grows rapidly with hypervascularity. In the spine, it can cause extensive bone destruction and compress neural structures with eventual vertebral collapse. Operative management of such a lesion may be complicated by profuse hemorrhage. Herein, we report a 15-year-old boy who had an acute exacerbation of spinal cord compression because of an ABC in the upper thoracic region. With a two-staged operation that complicating with profuse intraoperative bleeding, decompressive curettage and stabilization of the vertebral column were assured. However, abrupt neurologic deterioration occurred because of rebleeding with spinal cord compression 1 month postoperatively. Secondary decompressive curettage and following local radiotherapy were undertaken to cure the disease. Neurological recovery and healing of spinal ABC could be expected if the lining of a cyst had been totally removed. At the 18-month follow-up examination, he was neurologically intact and without any backache, leg pain or gait disturbance.

Original languageEnglish
Title of host publicationChang Gung medical journal
Pages183-189
Number of pages7
Volume25
Edition3
Publication statusPublished - Mar 2002
Externally publishedYes

Fingerprint

Aneurysmal Bone Cysts
Spinal Cord Compression
Spine
Thorax
Curettage
Hemorrhage
Bone and Bones
Back Pain
Gait
Nervous System
Cysts
Leg
Radiotherapy
Pain

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Chen, S. H., Huang, T-J., Hsueh, S., Lee, Y. Y., & Hsu, R. W. W. (2002). Unusual bleeding of aneurysmal bone cyst in the upper thoracic spine. In Chang Gung medical journal (3 ed., Vol. 25, pp. 183-189)

Unusual bleeding of aneurysmal bone cyst in the upper thoracic spine. / Chen, Shih Hao; Huang, Tsung-Jen; Hsueh, S.; Lee, Yan Yaw; Hsu, Robert Wen Wei.

Chang Gung medical journal. Vol. 25 3. ed. 2002. p. 183-189.

Research output: Chapter in Book/Report/Conference proceedingChapter

Chen, SH, Huang, T-J, Hsueh, S, Lee, YY & Hsu, RWW 2002, Unusual bleeding of aneurysmal bone cyst in the upper thoracic spine. in Chang Gung medical journal. 3 edn, vol. 25, pp. 183-189.
Chen SH, Huang T-J, Hsueh S, Lee YY, Hsu RWW. Unusual bleeding of aneurysmal bone cyst in the upper thoracic spine. In Chang Gung medical journal. 3 ed. Vol. 25. 2002. p. 183-189
Chen, Shih Hao ; Huang, Tsung-Jen ; Hsueh, S. ; Lee, Yan Yaw ; Hsu, Robert Wen Wei. / Unusual bleeding of aneurysmal bone cyst in the upper thoracic spine. Chang Gung medical journal. Vol. 25 3. ed. 2002. pp. 183-189
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