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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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 | Images to this case: |  [ CT ]  [ MRI ]  [ All ] | |
| | Author/s: | Ina Sorge (Universitätsklinik Leipzig) | |
| | Email Address: | Viewable for logged on visitors (Log on) | |
| | Age: | 16 Years | |
| | Gender: | Male | |
| | Region-Organ: | Neck-Bones | |
| | Most likely etiology: | neoplastic | |
| | History: | Increasing back pain for weeks, at night more than during the day, which led to increased insomnia. Paresthesia of the left hand. | |
| | Pathomorphology 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. | |
| | Radiological findings: |
 <- view MRI 1
MRI 1: T2-TSE sagittal: Hyperintense, round structure in the third cervical vertebra and the corresponding vertebral arch.
 <- view MRI 2
MRI 2: T1-TSE sagittal: The same lesion is low-signal in T1.
 <- view MRI 3
MRI 3: T1-TSE sagittal after contrast: The lesion in the 3rd cervical vetebra shows a noticeable enhancement.
 <- 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.
 <- 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.
 <- 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.
 <- view CT 3
CT 3: Secondary reconstruction with visualization of the lesion in the left vertebral arch of the 3rd cervical vertebra.
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| | Diagnosis confirmation: | Surgery / Histo | |
| | Which 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 | |
| | Course / Prognosis / Frequency / Other : | Treatment: Surgical with removal of the nidus.
Our patient is without symptoms or complaints since the operation. | |
| | Comments of the author about the case: | N/A | |
| | First description / History: | N/A | |
| | Literature: | N/A | |
| | Keywords: | Osteoidosteoma, bone tumor, Osteoid osteoma, nightly back pain, nightly bone pain, vertebral, child, childhood, pediatric radiology | |
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Cite this article: |
Ina Sorge. Vertebral Osteoid Osteoma. PedRad [serial online] vol 4, no. 2.
URL: www.PedRad.info/?search=20040220080910 |
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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
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| | Images to this case: | [ CT ] [ MRI ] [ All ] | |
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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
| |
Search similar cases in:
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Vertebral Osteoid Osteoma
Other cases by these authors:
 Ina Sorge (8)
Vertebral Osteoid Osteoma |
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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
| |
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
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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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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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