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

研究成果: 書貢獻/報告類型章節

6 引文 斯高帕斯(Scopus)

摘要

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.
原文英語
主出版物標題Chang Gung medical journal
頁面183-189
頁數7
25
版本3
出版狀態已發佈 - 3月 2002
對外發佈

ASJC Scopus subject areas

  • 醫藥 (全部)

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