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    Go to the top of the page   ID: 20040220080910 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    | The Authors | Discussion | Write a Comment to this Case |
    | Evaluate this Case | Recommend this Case to a Colleague | Survey Results |
    | Citation | Similar Cases | Similar Cases in the Internet | Images to this Case |
     
    Vertebral Osteoid Osteoma
    Ina Sorge. Vertebral Osteoid Osteoma. PedRad [serial online] vol 4, no. 2.
    URL: www.PedRad.info/?search=20040220080910


     
     Pediatric Radiology CasesImages to this case: There are CT-images available for this case. [ CT ] There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Ina Sorge (Universitätsklinik Leipzig)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    16 Years  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    Neck-Bones  

     
     Pediatric Radiology CasesMost likely etiology:

    neoplastic  

     
     Pediatric Radiology CasesHistory:

    Increasing back pain for weeks, at night more than during the day, which led to increased insomnia. Paresthesia of the left hand.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    Osteoid Osteomas make up about 14% of all bone tumors, with the highest age frequency from 10 to 20 years. The often hypervascularized nidus causes a contrast uptake in MRI. The surrounding corticalis is usually asymmetrically thickened. A corresponding reaction of the surrounding soft tissue is common.
    The vertebra are, after the proximal femur and tibia, the third most common localization. Boys are 3 times more often afflicted than girls. Nightly pain is typical. The proof of the nidus was, in our case, best found with CT.  

     
     Pediatric Radiology CasesRadiological findings:


    MRI 1 <- view MRI 1

    MRI 1: T2-TSE sagittal: Hyperintense, round structure in the third cervical vertebra and the corresponding vertebral arch.



    MRI 2 <- view MRI 2

    MRI 2: T1-TSE sagittal: The same lesion is low-signal in T1.



    MRI 3 <- view MRI 3

    MRI 3: T1-TSE sagittal after contrast: The lesion in the 3rd cervical vetebra shows a noticeable enhancement.



    MRI 4 <- view MRI 4

    MRI 4: T1 KM transversal: Changes showing contrast uptake in the 3rd cervical vertebra on the left side, which extends to the vertebral arch. The vertebral arch is expanded on the left side.



    CT 1 <- view CT 1

    CT 1: Osteolytic changes in the 3rd cervical vertebra. Asymmetric sclerosis of the 3rd cervical vertebra as well as the vertebral arch around the lesion.



    CT 2 <- view CT 2

    CT 2: Lytic lesion in the vertebral arch of the 3rd cervical vertebra with sclerotic edges. The lesion compresses the left neruoforamen.



    CT 3 <- view CT 3

    CT 3: Secondary reconstruction with visualization of the lesion in the left vertebral arch of the 3rd cervical vertebra.

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Enchondroma
    Osteochondroma
    Osteoblastoma
    Sclerotic osteomyelitis
    Brodie Abscess
    Malignant Tumors (without proof of origin) like Ewing or Osteosarcoma  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Treatment: Surgical with removal of the nidus.
    Our patient is without symptoms or complaints since the operation.  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    N/A  

     
     Pediatric Radiology CasesKeywords:

    Osteoidosteoma, bone tumor, Osteoid osteoma, nightly back pain, nightly bone pain, vertebral, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Ina Sorge. Vertebral Osteoid Osteoma. PedRad [serial online] vol 4, no. 2.
    URL: www.PedRad.info/?search=20040220080910  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Neck-Bones
    or in the region: Neck
    or in the tissue/organ: Bones
    or with the etiology: neoplastic
     
     Pediatric Radiology CasesImages to this case: There are CT-images available for this case. [ CT ] There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     
    Vertebral Osteoid Osteoma
    Ina Sorge. Vertebral Osteoid Osteoma. PedRad [serial online] vol 4, no. 2.
    URL: www.PedRad.info/?search=20040220080910


     

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    Vertebral Osteoid Osteoma
    Other cases by these authors:

    Search Ina Sorge in Medline Ina Sorge (8)   

    Vertebral Osteoid Osteoma  
     
    Vertebral Osteoid Osteoma
    Ina Sorge. Vertebral Osteoid Osteoma. PedRad [serial online] vol 4, no. 2.
    URL: www.PedRad.info/?search=20040220080910


     

    Which diagnosis have other collegues guessed?


    • Enchondroma
      Votes: 2 (18 %)


    • Osteoid osteoma
      Votes: 6 (54 %)


    • Osteochondroma
      Votes: 2 (18 %)


    • Osteoblastoma
      Votes: 0 (0 %)


    • Sclerotic Osteomyelitis
      Votes: 1 (9 %)



        Total answers: 11

     
    Vertebral Osteoid Osteoma
    Ina Sorge. Vertebral Osteoid Osteoma. PedRad [serial online] vol 4, no. 2.
    URL: www.PedRad.info/?search=20040220080910


     

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    Vertebral Osteoid Osteoma
    Ina Sorge. Vertebral Osteoid Osteoma. PedRad [serial online] vol 4, no. 2.
    URL: www.PedRad.info/?search=20040220080910


     




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