Spinal aneurysmal bone cyst presenting as acute paraparesis during pregnancy. (June 2016)

• Record Type: Journal Article
• Authors: Li, Luyuan; Tan, Lee A.; Wewel, Joshua T.; Kasliwal, Manish K.; O'Toole, John E.
• Is Part Of: Journal of clinical neuroscience. Volume 28(2016:Jun.)
• Page Start: 167
• Page End: 169
• Publication Date: 2016-06
• Subjects: Aneurysmal bone cyst -- Management -- Paraplegia -- Pregnancy; Brain -- Surgery -- Periodicals; Neurosciences -- Periodicals; Nervous system -- Surgery -- Periodicals; Brain -- surgery -- Periodicals; Neurosurgical Procedures -- Periodicals; Neurosciences -- Periodicals; Electronic journals; 616.8
• DOI: 10.1016/j.jocn.2015.12.002
• Languages: English
• ISSNs: 0967-5868

Abstract

Highlights: Aneurysmal bone cysts (ABCs) are benign locally aggressive osseous lesions. Spinal involvement secondary to ABC in pregnancy is very rare. A case of thoracic ABC presenting as acute paraparesis in a pregnant woman is reported. Abstract: Aneurysmal bone cysts (ABC) are benign but locally aggressive osseous lesions characterized by blood-filled cystic cavities that account for 1–2% of all bone tumors. While pain remains the most common presenting symptom of spinal ABC, extensive anterior column involvement can result in vertebral fractures, spinal instability, and neurological deficits from compression of neural elements. An exceedingly rare case of thoracic ABC presenting as acute paraparesis in a 21-year-old pregnant woman, that was successfully treated with urgent surgical decompression and stabilization, is reported, with discussion of management strategies and review of the pertinent literature.