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A Rare Case of Acute-Onset Spastic Quadriparesis Caused by a Chondroma of the Cervical Spine
Joint Authors
Sairyo, Koichi
Tezuka, Fumitake
Toki, Shunichi
Nagamachi, Akihiro
Yamashita, Kazuta
Momota, Kaori
Nishisho, Toshihiko
Miyagi, Ryo
Maeda, Toru
Takata, Yoichiro
Sakai, Toshinori
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-05-23
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Chondromas are benign cartilaginous tumors that occur very rarely in the spine.
Moreover, chondromas of the extraskeletal origin are also very rare.
In this case report, we describe an extremely rare case of chondroma arising from the ligamentum flavum in the cervical spine.
A 67-year-old man presented to our clinic with acute-onset spastic quadriparesis.
We performed emergent magnetic resonance imaging and found an epidural mass in the right ligamentum flavum at C4-C5.
The acute-onset presentation was suspicious for intraligamentous hematoma in the ligamentum flavum at this level.
We performed emergency decompression surgery and en bloc removal of the epidural mass with the right C4 and C5 lamina.
The lesion had the appearance of cartilaginous tissue rather than hematoma.
Based on the histological investigation, the final diagnosis was intraligamentous chondroma of the cervical spine.
The quadriparesis improved postoperatively, as did the results of manual muscle testing in the affected area, and he was able to resume walking independently with a cane.
At the one-year follow-up, the manual muscle testing results were almost normal.
Surgeons should keep in mind the possibility of benign tumors including chondroma of the cervical spine when a patient presents with acute-onset quadriparesis.
American Psychological Association (APA)
Momota, Kaori& Nishisho, Toshihiko& Miyagi, Ryo& Toki, Shunichi& Yamashita, Kazuta& Tezuka, Fumitake…[et al.]. 2019. A Rare Case of Acute-Onset Spastic Quadriparesis Caused by a Chondroma of the Cervical Spine. Case Reports in Orthopedics،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1142564
Modern Language Association (MLA)
Momota, Kaori…[et al.]. A Rare Case of Acute-Onset Spastic Quadriparesis Caused by a Chondroma of the Cervical Spine. Case Reports in Orthopedics No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1142564
American Medical Association (AMA)
Momota, Kaori& Nishisho, Toshihiko& Miyagi, Ryo& Toki, Shunichi& Yamashita, Kazuta& Tezuka, Fumitake…[et al.]. A Rare Case of Acute-Onset Spastic Quadriparesis Caused by a Chondroma of the Cervical Spine. Case Reports in Orthopedics. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1142564
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1142564