Torticollis due to aneurysmal bone cyst located in the thoracic vertebrae: A case report

Abstract

Aneurysmal bone cyst is a benign, tumor-like, highly vascular, locally aggressive and relatively rare osteolytic lesion of unknown etiology. Aneurysmal bone cysts of the spine account for 12%–30% of all aneurysmal bone cyst cases. They mostly occur in the lumbar vertebrae, followed by the thoracic, cervical, and sacral vertebrae. Torticollis, a condition characterized by an abnormal tilted position, rotation, and flexion of the head and neck is considered a sign rather than a specific diagnosis. To our knowledge, the presentation of torticollis in children with aneurysmal bone cysts in the thoracic vertebrae has not been reported in the literature. We should keep in mind that acquired torticollis can be a sign of underlying life-threatening conditions. Here we present the case of a 9-year-old boy with muscle spasm, progressively increasing pain, and right torticollis (lasting for 45 days) who presented to the emergency department with paraplegia.

Keywords

• Aneurysmal Bone Cyst
• torticollis
• acute paraplegia
• children

Torasik vertebrada bulunan anevrizmal kemik kistine bağlı tortikollis: Olgu sunumu

Öz

Anevrizmal kemik kisti, etiyolojisi bilinmeyen, iyi huylu, tümör benzeri, oldukça vasküler, lokal olarak agresif ve nispeten nadir osteolitik bir lezyondur. Omurganın anevrizmal kemik kistleri, tüm anevrizmal kemik kisti vakalarının% 12 ila 30'unu oluşturur. Çoğunlukla lomber vertebralarda, ardından torasik, servikal ve sakral vertebralarda görülürler. Doğal olmayan bir baş ve boyun eğik pozisyonu, rotasyonu ve fleksiyonu olan tortikolis, spesifik bir tanıdan çok bir işaret olarak kabul edilir. Bildiğimiz kadarıyla, literatürde, çocuklarda torasik vertebrada oluşan anevrizmal kemik kistleri tortikollis ile birlikte bildirilmemiştir. Edinilmiş tortikollisin altta yatan yaşamı tehdit eden koşulların bir işareti olabileceğini aklımızda tutmalıyız. Bu rapor, acil servise parapleji ile başvuran; kas spazmı, giderek artan ağrı ve 45 gündür süren sağ tortikolisi olan 9 yaşında bir erkek çocuğu tanımlamaktadır.

Anahtar Kelimeler

• Anevrizmal kemik kisti
• Tortikollis
• Akut parapleji
• Çocuklar

Kaynakça

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