scholarly journals Spine ABC, A Multidimensional Case Report from A to Z: Aneurysmal Bone Cyst of the Spine

2019 ◽  
Vol 7 (2) ◽  
pp. 33-37
Author(s):  
Eliza (Eleni-Zacharoula) Georgiou ◽  
Savvina Prapiadou ◽  
Helen Kourea

Background: Aneurysmal bone cysts (ABC) are uncommon entities which cause expansile and destructive bone lesions and are characterized by reactive proliferation of connective tissue. They usually grow rapidly with hypervascularity. ABC’s incidence on the spine is 1.5 in 10 million. Most cases present with pain of unexplained origin. The Case: Presented in this paper is an ABC case in the spinous process of the L2 vertebra of a 20-year-old Greek female patient. The main symptom was persistent back pain, without neurological symptoms, of four years’ duration. Treatment consisted of surgical curettage of the lesion. In this case report, we tried to describe not only the pathology of this disease but also the subsequent psychosocial symptoms that accompany it. We managed to accomplish that by exploiting the knowledge of an experienced pathologist, the help of the physicians responsible for this case, the interest of some sensitized medical students, and of course, the experience of the patient herself since the patient is also the lead author. Conclusion: The focal point of this article is that even though ABCs might lead to excruciating pain, this pain can be alleviated with the proper treatment, especially if the communication between physician and patient is optimal.

2016 ◽  
Vol 38 (01) ◽  
pp. 051-055
Author(s):  
Arnon Alves Filho ◽  
Adans Porfírio ◽  
Washington Ribeiro ◽  
Daniel Fonseca ◽  
Moana Malta ◽  
...  

Introduction Aneurysmal bone cysts (ABCs) are pseudotumoral bone lesions of unknown etiology that are also hypervascularized, benign, and locally destructive. They are rare in the base of the skull. The present case report describes a case of aneurysmal bone cyst in the sella turcica. Case Report The present study was developed at the department of neurosurgery of the Hospital Universitário Professor Alberto Antunes of the Universidade Federal de Alagoas (HUPAA-AL, in the Portuguese acronym), Maceió, state of Alagoas, Brazil, and is accompanied by a review of the literature from the PubMed database. A 17-year-old female patient with bitemporal hemianopia and intense left hemicranial headache associated with symptoms from the cranial nerves contained in the cavernous sinus. Neuroimaging evidenced a large lesion in the suprasellar region with calcification foci, sellar erosion, and extension to the cavernous sinus. The patient was submitted to a partial lesion resection and the histopathological analysis showed an aneurysmal bone cyst. Conclusion A rare case of intracranial aneurysmal bone cyst, with the important differential diagnosis from pituitary adenoma.


2015 ◽  
Vol 15 (3) ◽  
pp. 272-275 ◽  
Author(s):  
Sarah T. Garber ◽  
Jay K. Riva-Cambrin

Aneurysmal bone cysts (ABCs) are benign, expansile, osteolytic lesions that represent 1%–2% of primary bone tumors. Cranial ABCs are even more rare and represent 3%–6% of these unique lesions. The authors describe the case of a 3-year-old girl who presented with an acute posterior fossa epidural hematoma after minor trauma. Imaging workup revealed a previously undiagnosed suboccipital ABC that appeared to have ruptured as a result of her trauma, leading to a life-threatening hemorrhage. To the authors' knowledge, a ruptured ABC has never before been presented in the pediatric literature. In this case report, the authors review the imaging findings, natural history, clinical course, and treatment of these rare lesions.


2021 ◽  
pp. 217-223
Author(s):  
Sudhir Shyam Kushwaha ◽  
Kumar Shantanu ◽  
Garima Maurya ◽  
Abhishek Pandey

Aneurysmal bone cysts (ABC) are blood-filled, locally destructive, expansile lesions of the bone. ABC of the proximal femur is usually unilateral in presentation. As far as the English literature is concerned, there is no case report of bilateral involvement of the proximal femur by primary ABC. We hereby present a rare case of bilateral primary ABC of the proximal femur with pathological fracture of the right femoral neck. The patient underwent right hip hemiarthroplasty and open biopsy and curettage of the left proximal femur. ABC is usually unilateral in location. Whenever there is a bilateral lesion in the proximal femur usually ABC is not suspected as a differential diagnosis, but ABC may have a bilateral presentation.


2021 ◽  
Vol 111 (1) ◽  
Author(s):  
Olgun Bingol ◽  
Guzelali Ozdemir ◽  
Niyazi Erdem Yasar ◽  
Alper Deveci

The aneurysmal bone cysts, usually found in the tibia, femur, pelvis, or humerus, are expansile pseudotumor lesions of unknown etiology. An aneurysmal bone cyst is rarely seen in the medial cuneiform. In this case report, a 43-year-old man with an aneurysmal bone cyst in the left medial cuneiform is presented. The cyst was curetted, and the defect was filled with an en bloc iliac crest graft. A screw was placed to fix the graft in the proper position. In the 2-year follow-up of the patient, recurrence was not detected radiologically.


2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Haneen Al-Maghrabi ◽  
Serge Verne ◽  
Bassam Al-Maghrabi ◽  
Osamah Almutawa ◽  
Jaudah Al-Maghrabi

Aneurysmal bone cysts (ABCs) are an uncommon osteolytic intraosseous bone lesions. ABCs commonly involve metaphysis of long bones and are rarely diagnosed in craniofacial bones. The World Health Organization (WHO) designates ABCs as benign, but locally destructive, rapidly growing masses. ABC can be clinically misdiagnosed as a malignant tumor. In this article, we present a case of a 12-year-old female patient who presented to a maxillofascial outpatient clinic complaining of huge jaw swelling over the past 3 months, which was clinically suggestive of sarcoma. Few reported cases in the English literature describe ABC presented with huge rapidly growing mass causing destructive bony lesion that was clinically mimic sarcoma, which initiates this case report. We also discuss the most important pathologic differential diagnosis of tumors with malignant behavior and review the literature.


Neurosurgery ◽  
1991 ◽  
Vol 28 (4) ◽  
pp. 592-594 ◽  
Author(s):  
Bruce J. Andersen ◽  
Goldhagen Paul ◽  
David W. Cahill

Abstract Aneurysmal bone cysts (ABCs); are relatively uncommon, benign lesions. Fully 50% occur in long bones and 20% in the vertebral column, mostly in patients under 20 years of age. We report a case of an ABC in the odontoid process of a 74-year-old who sought treatment for pain and myelopathy. This is the first case reported of an ABC of the odontoid process.


Author(s):  
Gaurav Sharma ◽  
Sweety Gupta ◽  
Sanjay Sajeevan ◽  
Rajnish Arora ◽  
Prashant Joshi ◽  
...  

Aneurysmal bone cysts (ABCs) are benign bone lesions arising mostly in the pediatric population that can cause local pain, swelling, and pathologic fracture. It is occasionally an aggressive benign lesion whose treatment of choice is complete resection, even though the risk of profuse intraoperative bleeding exists. We here report a case of spinal aneurysmal bone cyst treated by surgery and adjuvant radiotherapy.


1974 ◽  
Vol 10 (2) ◽  
pp. 242
Author(s):  
HS Chang ◽  
SY Yoo ◽  
WH Lee ◽  
MC Han

2020 ◽  
Vol 26 (1) ◽  
pp. 76-81
Author(s):  
George H. Tse ◽  
Feng Y. Jiang ◽  
Matthias W. R. Radatz ◽  
Saurabh Sinha ◽  
Hesham Zaki

Aneurysmal bone cysts (ABCs) are an uncommon entity predominantly encountered in the pediatric population. The skull is rarely involved, but these cysts have been reported to arise in the skull base. Traditional treatment has been with surgery alone; however, there is a gathering body of literature that reports alternative treatments that can achieve long-term disease-free survival. However, these therapies are predominantly directed at peripheral skeletal lesions. To the authors’ knowledge, this report is the first to describe long-term follow-up of the efficacy of Gamma Knife stereotactic radiosurgery for treatment of ABC residuum in the skull base that resulted in long-term patient stability and likely ABC obliteration.


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